Organization
ENLIGHTENED PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN WAITNEIGHT MSN,PMHNP-BC, PNP-BC (PRACTICE OWNER)
(617) 686-9802
Entity
Organization
Contact information
Practice address
54 CENTRAL ST STE 2, SOUTHBOROUGH, MA 01745-1032
(508) 714-7604
(508) 213-3968
Mailing address
54 CENTRAL ST STE 2, SOUTHBOROUGH, MA 01745-1032
(508) 714-7604
(508) 213-3968
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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