# COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER

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

## Provider details

- **NPI number:** 1548533789
- **Authorized official:** MR. DAVID LEON AVERY LMHC (PRESIDENT/CEO)
- **Authorized official phone:** (617) 282-9772

## Contact information

- **Practice address:** 35 BURT ST, DORCHESTER, MA 02124-3705
- **Practice address phone:** (617) 282-9772
- **Practice address fax:** (617) 506-1573
- **Mailing address:** 35 BURT ST, DORCHESTER, MA 02124-3705
- **Mailing address phone:** (617) 282-9772
- **Mailing address fax:** (617) 506-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 7173 | MA | Yes |
| 251S00000X | Community/Behavioral Health Agency | 572 | MA | — |

## Other

- **Enumeration date:** 02/20/2012
- **Last updated:** 02/20/2012