Healthcare Provider Details

I. General information

NPI: 1437060316
Provider Name (Legal Business Name): WHOLISTICALLY MADE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 BROAD ST STE 13A-1026
BRIDGEWATER MA
02324-1786
US

IV. Provider business mailing address

233 BROAD ST STE 13A-1026
BRIDGEWATER MA
02324-1786
US

V. Phone/Fax

Practice location:
  • Phone: 774-707-7595
  • Fax:
Mailing address:
  • Phone: 774-707-7595
  • 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: MRS. EDEN XAVIAR ABRAMS
Title or Position: OWNER/CLINICAL THERAPIST
Credential: LICSW
Phone: 774-707-7595