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Organization
TOTAL WELLNESS CENTERS, LLC
Active
Organization
TOTAL WELLNESS CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA L WILSON M.D. (PARTNER)
(413) 788-0100
Entity
Organization
Contact information
Practice address
258 MAIN ST, WEST SPRINGFIELD, MA 01089-3955
(413) 788-0100
(413) 788-0100
Mailing address
258 MAIN ST, WEST SPRINGFIELD, MA 01089-3955
(413) 788-0100
(413) 788-0100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
Primary
1030842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083630A
—
MA
Enumeration date
01/05/2010
Last updated
01/26/2010
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