Healthcare Provider Details
I. General information
NPI: 1588580807
Provider Name (Legal Business Name): BAIN HEALTH AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
94 PLEASANT ST STE 203
ARLINGTON MA
02476-6534
US
IV. Provider business mailing address
94 PLEASANT ST STE 203
ARLINGTON MA
02476-6534
US
V. Phone/Fax
- Phone: 857-203-0010
- Fax:
- Phone: 857-203-0010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FABIENNE
BAIN
Title or Position: FOUNDER/PSYCHOLOGIST
Credential: PHD
Phone: 857-203-0010