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Organization
MAKE ROOM PSYCHIATRY & WELLNESS PLLC
Active
Organization
MAKE ROOM PSYCHIATRY & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA MONTISSOL PMHNP-BC (MANAGING MEMBER)
(617) 223-7183
Entity
Organization
Contact information
Practice address
1 UNION PL STE 104, DEDHAM, MA 02026-4437
(617) 223-7183
Mailing address
1 UNION PL STE 104, DEDHAM, MA 02026-4437
(617) 223-7183
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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