Healthcare Provider Details

I. General information

NPI: 1629993050
Provider Name (Legal Business Name): SUSTAINABLE WELLNESS THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 FLORENCE AVE
ARLINGTON MA
02476-5909
US

IV. Provider business mailing address

17 FLORENCE AVE
ARLINGTON MA
02476-5909
US

V. Phone/Fax

Practice location:
  • Phone: 413-320-2159
  • Fax:
Mailing address:
  • Phone: 413-320-2159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: FRANCESCA VITALE
Title or Position: CLINICIAN
Credential: LICSW
Phone: 413-320-2159