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Organization

WHITLEY WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY WHITLEY NP-C (OWNER)
(617) 620-9757
Entity
Organization

Contact information

Practice address
8 SHIPWAY PL # C-8, CHARLESTOWN, MA 02129-4301
(325) 439-9799
(617) 987-9739
Mailing address
8 SHIPWAY PL # C-8, CHARLESTOWN, MA 02129-4301
(325) 439-9799

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RN2267850
MA
101YM0800X
Mental Health Counselor
133V00000X
Registered Dietitian
163WN1003X
Nutrition Support Registered Nurse
RN2267850
MA
225700000X
Massage Therapist
1099
MA
251S00000X
Community/Behavioral Health Agency
Primary
363LF0000X
Family Nurse Practitioner
RN2267850
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/21/2016
Last updated
03/19/2018
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