Organization
ELEMENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE HOGAN LPC (OWNER)
(610) 750-9447
Entity
Organization
Contact information
Practice address
60A WERNER ST, WERNERSVILLE, PA 19565-1623
(610) 750-9447
(610) 750-9383
Mailing address
PO BOX 119, WERNERSVILLE, PA 19565-0119
(601) 750-9447
(610) 750-9383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
02/15/2023
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