Healthcare Provider Details

I. General information

NPI: 1528908753
Provider Name (Legal Business Name): BRIAN WILLIAM WOLFE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRIAN GERALD FOOTE

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 BAILEY RD
TOWNSEND MA
01474-1124
US

IV. Provider business mailing address

28 BAILEY RD
TOWNSEND MA
01474-1124
US

V. Phone/Fax

Practice location:
  • Phone: 603-315-3842
  • Fax: 603-315-3842
Mailing address:
  • Phone: 603-315-3842
  • Fax: 603-315-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: