# LIFESONG MENTAL HEALTH & WELLNESS, LLC

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

## Provider details

- **NPI number:** 1831880822
- **Authorized official:** MARNI BELL FEDERER PMHNP-BC, FNP-C (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (770) 548-8807

## Contact information

- **Practice address:** 163 HIGHLAND AVE STE 1179, NEEDHAM, MA 02494-3025
- **Practice address phone:** (781) 222-4828
- **Practice address fax:** (781) 222-4886
- **Mailing address:** 1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
- **Mailing address phone:** (770) 548-8807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2023
- **Last updated:** 05/19/2023