Healthcare Provider Details

I. General information

NPI: 1467367011
Provider Name (Legal Business Name): WOMENS WELLNESS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 STATE ST STE 500
BOSTON MA
02109
US

IV. Provider business mailing address

3 STATE ST STE 500
BOSTON MA
02109
US

V. Phone/Fax

Practice location:
  • Phone: 860-882-8524
  • Fax:
Mailing address:
  • Phone: 860-882-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ANN CHMIELEWSKI
Title or Position: OWNER
Credential:
Phone: 860-882-8524