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WELLESLEY WELLNESS LLC NPI 1821587064


NPI Information

NPI: 1821587064
Provider Name: WELLESLEY WELLNESS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 22D2242054

Address:
36 WASHINGTON ST STE 130
WELLESLEY, MA
ZIP 02481
Phone: (781) 705-6040
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WELLESLEY WELLNESS, LLC is a mental health (including community mental health center) clinic center in Wellesley, MA. WELLESLEY WELLNESS, LLC NPI is 1821587064. The provider is registered as an organization entity type.

The provider's business location address is:

36 WASHINGTON ST STE 130
WELLESLEY, MA
ZIP 02481-910
Phone: (781) 705-6040
Fax: (781) 705-6026

The provider's authorized official is Joseph Sean O'garr .
The authorized official title is Owner and has the following contact phone number (781) 705-6040.

The CLIA number assigned to this NPI record is 22D2242054 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 5/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 4/28/2024

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