# LAVENDER ST HEALTH & WELLNESS LLC

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

## Provider details

- **NPI number:** 1871391169
- **Authorized official:** PAMELA JANE MATTHEWS DNP (OWNER)
- **Authorized official phone:** (774) 901-4949

## Contact information

- **Practice address:** 16 LAVENDER ST, MILLIS, MA 02054-1257
- **Practice address phone:** (774) 901-4949
- **Practice address fax:** (774) 272-8482
- **Mailing address:** 16 LAVENDER ST, MILLIS, MA 02054-1257
- **Mailing address phone:** (774) 901-4949
- **Mailing address fax:** (774) 272-8482

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2025
- **Last updated:** 05/13/2026