| Fourth Space Wellness, P.l.l.c. | |
|
497 Hooksett Rd Manchester NH 03104-2698 | |
| (603) 945-0865 | |
| (603) 782-9328 |
| Full Name | Fourth Space Wellness, P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 497 Hooksett Rd, Manchester, New Hampshire |
| Authorized Official Name and Position | Sandra Dawn Seebeck (MANAGER OWNER) |
| Authorized Official Contact | 6033157197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fourth Space Wellness, P.l.l.c. 497 Hooksett Rd Manchester NH 03104-2698 Ph: (603) 945-0865 | Fourth Space Wellness, P.l.l.c. 497 Hooksett Rd Manchester NH 03104-2698 Ph: (603) 945-0865 |
| NPI Number | 1811872807 |
|---|---|
| Provider Enumeration Date | 08/08/2025 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811872807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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