Healthcare Provider Details

I. General information

NPI: 1487568903
Provider Name (Legal Business Name): FOX WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 KING PHILIP PATH
HINGHAM MA
02043-3957
US

IV. Provider business mailing address

73 JAWOL DR
CHARLESTON SC
29414-6808
US

V. Phone/Fax

Practice location:
  • Phone: 347-670-4673
  • Fax:
Mailing address:
  • Phone: 774-287-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: LINDSEY FOX
Title or Position: FOUNDER/OWNER
Credential: LMHC, LPC
Phone: 774-287-8610