Organization
MIND OVER MATTERS THERAPEUTIC & WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARONDA LASHAWN BAGWELL MSN, CNP, PMHNP (OWNER)
(774) 209-2372
Entity
Organization
Contact information
Practice address
109 RHODE ISLAND RD, LAKEVILLE, MA 02347-1370
(774) 209-2372
Mailing address
109 RHODE ISLAND RD STE 4B, LAKEVILLE, MA 02347-1370
(774) 209-2372
(774) 217-7242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
04/28/2026
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