Organization
AUTHENTIC WELLNESS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN GAROFANO-STAINES LMHC (CLINICIAN/OWNER)
(508) 471-6410
Entity
Organization
Contact information
Practice address
AUTHENTIC WELLNESS THERAPY LLC, 300 WEST MAIN STREET, BUILDING B, NORTHBOROUGH, MA 01532
(508) 471-6410
Mailing address
PO BOX 2, STERLING, MA 01564-0002
(508) 471-6410
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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