Organization
MIND FULL CENTER FOR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE DECOSTA PMHNP-BC (OWNER)
(603) 391-2392
Entity
Organization
Contact information
Practice address
792 S MAIN ST STE 102, MANSFIELD, MA 02048-3137
(508) 470-9783
(508) 231-9020
Mailing address
792 S MAIN ST STE 102, MANSFIELD, MA 02048-3137
(508) 470-9783
(508) 231-9020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
11/06/2025
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