OrganizationActive
Behavioral Wellness Group
NPI 1073387486 · Professional Counselor · Blakely, PA
Provider details
- NPI number
- 1073387486
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Phillip Prall, Licensed Professional Counselor(570) 780-6558
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1819 Main St # a
Blakely, PA 18447-1351
Phone: (570) 780-6558
Approximate (ZIP-level) locationGet directions
Mailing address
1819 Main St # a
Blakely, PA 18447-1351
Registry dates
- Enumerated
- 2023-11-07
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.