Provider Demographics
NPI:1316768484
Name:CEC MENTAL HEALTH CARE & WELLNESS
Entity type:Organization
Organization Name:CEC MENTAL HEALTH CARE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOMOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-820-4470
Mailing Address - Street 1:2832 DEKALB PIKE # 1136
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1823
Mailing Address - Country:US
Mailing Address - Phone:484-820-4470
Mailing Address - Fax:484-328-6377
Practice Address - Street 1:45 DARBY RD STE E4OFC3
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1475
Practice Address - Country:US
Practice Address - Phone:484-820-4470
Practice Address - Fax:484-328-6377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty