Organization
STOUCKWELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL STOUCK LICSW (OWNER)
(301) 802-2414
Entity
Organization
Contact information
Practice address
3 TREMONT PL, SOMERVILLE, MA 02143-4113
(301) 802-2414
Mailing address
PO BOX 293, SOMERVILLE, MA 02143-0005
(301) 802-2414
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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