Organization
BRAIN WAVES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADELINE SHIEL LCMHC (MENTAL HEALTH THERAPIST)
(724) 987-0040
Entity
Organization
Contact information
Practice address
15 GLIDDEN RD STE 6, MOULTONBOROUGH, NH 03254-3698
(603) 441-5851
Mailing address
15 GLIDDEN RD STE 6, MOULTONBOROUGH, NH 03254-3698
(603) 441-5851
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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