Healthcare Provider Details
I. General information
NPI: 1497678254
Provider Name (Legal Business Name): WE LISTEN MENTAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
599 PLEASANT ST
BROCKTON MA
02301-2512
US
IV. Provider business mailing address
40 HOLLY LN
BRIDGEWATER MA
02324-2833
US
V. Phone/Fax
- Phone: 617-827-4820
- Fax:
- Phone: 617-827-4820
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINE
ISAAC
Title or Position: OWNER
Credential:
Phone: 540-527-5050