Organization
WELLESLEY COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LANGE LMHC, REAT (CO-OWNER, CLINICIAN)
(617) 304-1057
Entity
Organization
Contact information
Practice address
14 MICA LN STE 205, WELLESLEY, MA 02481-1708
(617) 304-1057
Mailing address
14 MICA LN STE 205, WELLESLEY, MA 02481-1708
(617) 304-1057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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