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Organization
WELLS OF WELLNESS, LLC
Active
Organization
WELLS OF WELLNESS, LLC
Active
Other names
Wells of Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEANNETTA V MONTISSOL LMHC (CEO)
(857) 204-6773
Entity
Organization
Contact information
Practice address
993 SOUTH STREET, APT, SUITE, FLOOR, ETC., ROSLINDALE, MA 02131
(857) 204-6773
Mailing address
40 CHARME AVE, ROSLINDALE, MA 02131-3113
(857) 204-6773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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