Healthcare Provider Details

I. General information

NPI: 1588550123
Provider Name (Legal Business Name): 333 COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ANDOVER ST STE 168
PEABODY MA
01960-1526
US

IV. Provider business mailing address

300 ANDOVER ST STE 168
PEABODY MA
01960-1526
US

V. Phone/Fax

Practice location:
  • Phone: 857-228-8088
  • Fax:
Mailing address:
  • Phone:
  • 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: JILLIAN GAUDET
Title or Position: LICSW
Credential:
Phone: 857-228-8088