Boss Wellness, LLC

NPI #1114689023 in Lake Mary, Florida

Provider Information

NPI Number: 1114689023
Entity Type: Organization
Organization Name: Boss Wellness, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 7, 2021
Last Updated: Oct 7, 2021

Practice Location

Address: 3551 W LAKE MARY BLVD STE 208
City: Lake Mary
State: Florida
ZIP Code: 32746-3460
Phone: (407) 308-0122

Authorized Official

Name: SHANTALA M BOSS, LMHC
Title: OWNER
Phone: (407) 308-0122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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