# THE OCTAVIA THERAPY AND WELLNESS PRACTICE LLC

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

## Provider details

- **NPI number:** 1770497430
- **Authorized official:** OCTAVIA NANKUNDA LMHC (OWNER/ CLINICIAN)
- **Authorized official phone:** (717) 802-1180

## Contact information

- **Practice address:** 47 DUNN RD, ASHBURNHAM, MA 01430-3002
- **Practice address phone:** (717) 802-1180
- **Practice address fax:** (351) 333-1853
- **Mailing address:** 47 DUNN RD, ASHBURNHAM, MA 01430-3002
- **Mailing address phone:** (717) 802-1180
- **Mailing address fax:** (351) 333-1853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2026
- **Last updated:** 10/05/2026