Healthcare Provider Details

I. General information

NPI: 1861356008
Provider Name (Legal Business Name): DISCOVERY HEALTHCARE SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5041 WASHINGTON ST
BOSTON MA
02132-4704
US

IV. Provider business mailing address

5041 WASHINGTON ST
BOSTON MA
02132-4704
US

V. Phone/Fax

Practice location:
  • Phone: 617-230-9468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: CARMELLE CHARLES-AUGUSTIN
Title or Position: PRESIDENT
Credential:
Phone: 617-230-9468