# CMB WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124720909
- **Authorized official:** MS. ANN PEARCE BISLAND APRN, PMHS (MANAGING OWNER)
- **Authorized official phone:** (401) 284-7414

## Contact information

- **Practice address:** 231 OLD TOWER HILL RD STE 208, WAKEFIELD, RI 02879-3708
- **Practice address phone:** (401) 284-7414
- **Practice address fax:** (949) 655-2738
- **Mailing address:** 9 BROOK FARM RD N, WAKEFIELD, RI 02879-2722
- **Mailing address phone:** (646) 386-6291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2023
- **Last updated:** 03/20/2023