# MOON SPOT WELLNESS CENTER PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447741350
- **Authorized official:** DR. MECHELLE PLASSE APRN, PHD (ADVANCED PRACTICE NURSE PRACTITIONE)
- **Authorized official phone:** (508) 735-9406

## Contact information

- **Practice address:** 36 N BEDFORD ST STE 3, EAST BRIDGEWATER, MA 02333-1186
- **Practice address phone:** (508) 735-9406
- **Practice address fax:** (774) 568-5605
- **Mailing address:** 1442 OLD PLEASANT ST, BRIDGEWATER, MA 02324-2139
- **Mailing address phone:** (508) 735-9406
- **Mailing address fax:** (774) 568-5605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 176838 | MA | Yes |

## Other

- **Enumeration date:** 05/25/2018
- **Last updated:** 05/25/2018