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Organization

TRUECARE WELLNESS, LLC

Active
Other names
TrueCare Wellness, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE DIVELY PSY.D. (CLINICAL PSYCHOLOGIST)
(814) 285-7482
Entity
Organization

Contact information

Practice address
7564 WOODBURY PIKE, ROARING SPRING, PA 16673-1601
(814) 729-7316
(814) 729-7538
Mailing address
390 MULEY LN, NEW ENTERPRISE, PA 16664-8306
(814) 285-7482

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
163WP0808X
Psychiatric/Mental Health Registered Nurse

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023128880003
PA
Enumeration date
04/19/2019
Last updated
10/23/2024
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