| Enlightened Psychiatry, Llc | |
|
54 Central St Ste 2 Southborough MA 01745-1032 | |
| (508) 714-7604 | |
| (508) 213-3968 |
| Full Name | Enlightened Psychiatry, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 54 Central St Ste 2, Southborough, Massachusetts |
| Authorized Official Name and Position | Jean Waitneight (PRACTICE OWNER) |
| Authorized Official Contact | 6176869802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightened Psychiatry, Llc 54 Central St Ste 2 Southborough MA 01745-1032 Ph: (508) 714-7604 | Enlightened Psychiatry, Llc 54 Central St Ste 2 Southborough MA 01745-1032 Ph: (508) 714-7604 |
| NPI Number | 1386280535 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 11/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386280535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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