Organization
NORTHEAST WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDEEP KAUR (CHIEF ADMINISTRATION OFFICER)
(781) 469-5320
Entity
Organization
Contact information
Practice address
22 MILL ST STE 108, ARLINGTON, MA 02476-4738
(617) 848-4417
(617) 848-4417
Mailing address
71 COMMERCIAL ST # 166, BOSTON, MA 02109-1320
(617) 848-4417
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
03/08/2022
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