Organization
MOVEMENT WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCEWILL FONTA (PRESIDENT)
(774) 888-8321
Entity
Organization
Contact information
Practice address
1249 ASHLEY BLVD STE 3N, NEW BEDFORD, MA 02745-1536
(774) 202-9666
(949) 703-7988
Mailing address
455 MIDDLE ST APT 2, FALL RIVER, MA 02724-5006
(774) 888-8321
(949) 703-7988
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2024
Last updated
11/12/2025
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