| Wellness Therapist, Llc | |
|
264 Beacon St Boston MA 02116-1236 | |
| (617) 299-9615 | |
| Not Available |
| Full Name | Wellness Therapist, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 264 Beacon St, Boston, Massachusetts |
| Authorized Official Name and Position | Ylira Pimentel Diaz (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6172999615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Therapist, Llc Po Box 490849 Everett MA 02149-0015 Ph: () - | Wellness Therapist, Llc 264 Beacon St Boston MA 02116-1236 Ph: (617) 299-9615 |
| NPI Number | 1134664394 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134664394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 118930 (Massachusetts) | Primary |
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