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General NPI Number Information
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NPI Number | 1295248698
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Entity Type | Organization
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Legal Business Name | WELL-BEING AND BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 26 SARANAC ST
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City | DORCHESTER
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State | MA
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Zip | 02122-2115
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Country | US
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Telephone | 617-506-9889
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Fax |
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Provider Business Mailing Address
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Address Line | 26 SARANAC ST
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City | DORCHESTER
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State | MA
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Zip | 02122-2115
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Country | US
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Telephone | 617-202-1073
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAUREN H PARKER
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Credential | PSYD
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Telephone | 617-506-9889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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