WELLNESS PATHWAY COUNSELING SERVICES LLC NPI 1396471942

NPI Information

  • NPI: 1396471942
  • Provider Name: WELLNESS PATHWAY COUNSELING SERVICES, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • CLIA Number: 22D2127801
  • Address: 20 CABOT BLVD STE 300
    MANSFIELD, MA
    ZIP 02048
  • Phone: (508) 635-5598

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NPI Details

WELLNESS PATHWAY COUNSELING SERVICES, LLC is a mental health counselor in Mansfield, MA. WELLNESS PATHWAY COUNSELING SERVICES, LLC NPI is 1396471942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 CABOT BLVD STE 300
MANSFIELD, MA
ZIP 02048-183
Phone: (508) 635-5598
Fax: (508) 213-1271

The provider's authorized official is Gedeon Brezil .
The authorized official title is Ceo and has the following contact phone number (508) 635-5598.

The CLIA number assigned to this NPI record is 22D2127801 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2022 and was last updated on 5/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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