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Organization
HEADWATERS THERAPY PLLC
Active
Organization
HEADWATERS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON DAVIS-MILLIS LICSW (OWNER)
(508) 289-1787
Entity
Organization
Contact information
Practice address
100 WEYMOUTH ST STE D, ROCKLAND, MA 02370-1145
(508) 289-1787
Mailing address
100 WEYMOUTH ST STE D, ROCKLAND, MA 02370-1145
(508) 289-1787
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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