| Stouckwellness | |
|
3 Tremont Pl Somerville MA 02143-4113 | |
| (301) 802-2414 | |
| Not Available |
| Full Name | Stouckwellness |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3 Tremont Pl, Somerville, Massachusetts |
| Authorized Official Name and Position | Rachel Stouck (OWNER) |
| Authorized Official Contact | 3018022414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stouckwellness Po Box 293 Somerville MA 02143-0005 Ph: (301) 802-2414 | Stouckwellness 3 Tremont Pl Somerville MA 02143-4113 Ph: (301) 802-2414 |
| NPI Number | 1639896608 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639896608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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