| Crystal Lake Wellness, Pllc | |
|
100 Conifer Hill Dr Ste 310 Danvers MA 01923-1169 | |
| (978) 956-8584 | |
| Not Available |
| Full Name | Crystal Lake Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 Conifer Hill Dr Ste 310, Danvers, Massachusetts |
| Authorized Official Name and Position | Laura Rheault (PMHNP) |
| Authorized Official Contact | 9789568584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Wellness, Pllc 100 Conifer Hill Dr Ste 310 Danvers MA 01923-1169 Ph: () - | Crystal Lake Wellness, Pllc 100 Conifer Hill Dr Ste 310 Danvers MA 01923-1169 Ph: (978) 956-8584 |
| NPI Number | 1932992948 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932992948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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