Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Wellness Center LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1629864061

Premier Wellness Center LLC is an Addiction (Substance Use Disorder) Counselor in Media, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 N Providence Rd
Media, PA 19063-2518
Phone: (484) 442-0073
Fax: (484) 205-4950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1629864061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Koniewicz — Owner · (484) 442-0073
NPI enumeratedApril 15, 2025
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address511 N Providence Rd, Rear Entrance, Media, PA 19063-2518

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