| Activated By Wellness, Llc | |
|
66 Washington St North Easton MA 02356-1012 | |
| (617) 871-9807 | |
| (617) 419-1055 |
| Full Name | Activated By Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 66 Washington St, North Easton, Massachusetts |
| Authorized Official Name and Position | Vivien Roman-hampton (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6178719807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activated By Wellness, Llc Po Box 254 Middleboro MA 02346-0254 Ph: (617) 871-9807 | Activated By Wellness, Llc 66 Washington St North Easton MA 02356-1012 Ph: (617) 871-9807 |
| NPI Number | 1386194611 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386194611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 119767 (Massachusetts) | Primary |
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