Organization
CRYSTAL LAKE WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RHEAULT PMHNP-BC (PMHNP)
(978) 956-8584
Entity
Organization
Contact information
Practice address
100 CONIFER HILL DR STE 310, DANVERS, MA 01923-1169
(978) 956-8584
Mailing address
100 CONIFER HILL DR STE 310, DANVERS, MA 01923-1169
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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