# MAKE ROOM PSYCHIATRY & WELLNESS PLLC

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

## Provider details

- **NPI number:** 1306755475
- **Authorized official:** SOPHIA MONTISSOL PMHNP-BC (MANAGING MEMBER)
- **Authorized official phone:** (617) 223-7183

## Contact information

- **Practice address:** 1 UNION PL STE 104, DEDHAM, MA 02026-4437
- **Practice address phone:** (617) 223-7183
- **Mailing address:** 1 UNION PL STE 104, DEDHAM, MA 02026-4437
- **Mailing address phone:** (617) 223-7183

## 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:** 09/03/2026
- **Last updated:** 09/03/2026