| Headwaters Therapy Pllc | |
|
100 Weymouth St Ste D Rockland MA 02370-1145 | |
| (508) 289-1787 | |
| Not Available |
| Full Name | Headwaters Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 Weymouth St Ste D, Rockland, Massachusetts |
| Authorized Official Name and Position | Simon Davis-millis (OWNER) |
| Authorized Official Contact | 5082891787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headwaters Therapy Pllc 100 Weymouth St Ste D Rockland MA 02370-1145 Ph: (508) 289-1787 | Headwaters Therapy Pllc 100 Weymouth St Ste D Rockland MA 02370-1145 Ph: (508) 289-1787 |
| NPI Number | 1467379669 |
|---|---|
| Provider Enumeration Date | 06/30/2026 |
| Last Update Date | 06/30/2026 |
| Certification Date | 06/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467379669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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