| S M Paul Lifestyle Design, Llc | |
|
10 Taber St Unit 307 Roxbury MA 02119-4147 | |
| (617) 858-9046 | |
| Not Available |
| Full Name | S M Paul Lifestyle Design, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 Taber St Unit 307, Roxbury, Massachusetts |
| Authorized Official Name and Position | Sheila M. Paul (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6178589046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S M Paul Lifestyle Design, Llc 1234 Hyde Park Ave Ste 202 Hyde Park MA 02136-2819 Ph: (617) 858-9046 | S M Paul Lifestyle Design, Llc 10 Taber St Unit 307 Roxbury MA 02119-4147 Ph: (617) 858-9046 |
| NPI Number | 1437928389 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437928389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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