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General NPI Number Information
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NPI Number | 1467391862
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Entity Type | Organization
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Legal Business Name | BWELLNESS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 120 STAFFORD ST STE 209
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City | WORCESTER
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State | MA
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Zip | 01603-1454
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Country | US
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Telephone | 508-762-8912
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Fax | 508-501-5504
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Provider Business Mailing Address
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Address Line | 120 STAFFORD ST STE 209
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City | WORCESTER
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State | MA
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Zip | 01603-1454
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Country | US
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Telephone | 508-762-8912
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Fax | 508-501-5504
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Authorized Official
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Title or Position | FOUNDER & CLINICAL DIRECTOR
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Name | BERNICE ANKOMAH
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Credential | LICSW
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Telephone | 508-762-8912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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