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General NPI Number Information
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NPI Number | 1306202189
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Entity Type | Organization
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Legal Business Name | METRO WEST CENTER FOR WELL BEING, LLC
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 195 MAIN ST STE 2
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City | FRANKLIN
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State | MA
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Zip | 02038-1955
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Country | US
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Telephone | 508-376-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 195 MAIN ST STE 2
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City | FRANKLIN
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State | MA
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Zip | 02038-1955
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Country | US
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Telephone | 508-376-6018
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ELLEN MULLALEY
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Credential |
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Telephone | 781-248-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | MA
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