Organization
AVANT WELLNESS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA FAIRCHILD PITCHER DNP, PMHNP (FOUNDER)
(607) 426-1721
Entity
Organization
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-6666
Mailing address
500 3RD ST, TOWANDA, PA 18848-1522
(570) 265-2515
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/18/2023
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