| The Mind Room, Llc | |
|
81 Watertown St Watertown MA 02472-2569 | |
| (617) 818-1728 | |
| Not Available |
| Full Name | The Mind Room, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 81 Watertown St, Watertown, Massachusetts |
| Authorized Official Name and Position | Jessica Werner (OWNER) |
| Authorized Official Contact | 6178181728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Room, Llc 81 Watertown St Watertown MA 02472-2569 Ph: (617) 818-1728 | The Mind Room, Llc 81 Watertown St Watertown MA 02472-2569 Ph: (617) 818-1728 |
| NPI Number | 1689264293 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689264293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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