# WELLCROSS BEHAVIORAL, PLLC

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

## Provider details

- **NPI number:** 1326750241
- **Authorized official:** SHERITA CHANG (COO)
- **Authorized official phone:** (954) 993-2040

## Contact information

- **Practice address:** 665 MAIN ST, WALTHAM, MA 02451-0602
- **Practice address phone:** (954) 993-2040
- **Practice address fax:** (954) 990-6305
- **Mailing address:** 3600 RED RD STE 606B, MIRAMAR, FL 33025-6016
- **Mailing address phone:** (954) 993-2040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2022
- **Last updated:** 12/22/2022