Psyche1001 Learn Grow Change LLC
NPI #1457894628 in Westport, Massachusetts
Provider Information
- NPI Number
- 1457894628
- Entity Type
- Organization
- Organization Name
- Psyche1001 Learn Grow Change LLC
- Primary Specialty
- Clinical Nurse Specialist - Psychiatric/Mental Health, Adult
- Enumeration Date
- Nov 21, 2016
- Last Updated
- Nov 21, 2016
Practice Location
- Address
- 638 ADAMSVILLE RD
- Address 2
- SUITE 1001
- City
- Westport
- State
- Massachusetts
- ZIP Code
- 02790-5031
- Phone
- (508) 636-4769
Authorized Official
- Name
- MS. MARCI A MCNICOL, APRNCNS BC
- Title
- OWNER
- Phone
- (508) 636-4769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult |
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