| Triwellness Holistic Center Llc | |
|
14 Dorchester St Ste 2 South Boston MA 02127-1306 | |
| (508) 617-0070 | |
| Not Available |
| Full Name | Triwellness Holistic Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Dorchester St Ste 2, South Boston, Massachusetts |
| Authorized Official Name and Position | Carol A Soldevilla (PARTNER) |
| Authorized Official Contact | 5086100070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triwellness Holistic Center Llc 14 Dorchester St Ste 2 South Boston MA 02127-1306 Ph: (508) 617-0070 | Triwellness Holistic Center Llc 14 Dorchester St Ste 2 South Boston MA 02127-1306 Ph: (508) 617-0070 |
| NPI Number | 1760993554 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760993554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 115897 (Massachusetts) | Primary |
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