# NORTHEAST WELLNESS, LLC

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

## Provider details

- **NPI number:** 1215528641
- **Authorized official:** AMANDEEP KAUR (CHIEF ADMINISTRATION OFFICER)
- **Authorized official phone:** (781) 469-5320

## Contact information

- **Practice address:** 22 MILL ST STE 108, ARLINGTON, MA 02476-4738
- **Practice address phone:** (617) 848-4417
- **Practice address fax:** (617) 848-4417
- **Mailing address:** 71 COMMERCIAL ST \# 166, BOSTON, MA 02109-1320
- **Mailing address phone:** (617) 848-4417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 03/08/2022