Authentic Wellness Therapy Llc | |
Authentic Wellness Therapy Llc 300 West Main Street, Building B Northborough MA 01532 | |
(508) 471-6410 | |
Not Available |
Full Name | Authentic Wellness Therapy Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | Authentic Wellness Therapy Llc, Northborough, Massachusetts |
Authorized Official Name and Position | Jillian Garofano-staines (CLINICIAN/OWNER) |
Authorized Official Contact | 5084716410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Authentic Wellness Therapy Llc Po Box 2 Sterling MA 01564-0002 Ph: (508) 471-6410 | Authentic Wellness Therapy Llc Authentic Wellness Therapy Llc 300 West Main Street, Building B Northborough MA 01532 Ph: (508) 471-6410 |
NPI Number | 1073152153 |
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Provider Enumeration Date | 01/06/2020 |
Last Update Date | 01/06/2020 |
Certification Date | 01/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073152153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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