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General NPI Number Information
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NPI Number | 1588523849
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Entity Type | Organization
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Legal Business Name | BRAINSPARK WELLNESS LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 324 OAK ST
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City | SHREWSBURY
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State | MA
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Zip | 01545-4334
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Country | US
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Telephone | 978-760-2242
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Fax | 978-760-2242
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Provider Business Mailing Address
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Address Line | 571 BOSTON TPKE STE 3 #1031
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City | SHREWSBURY
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State | MA
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Zip | 01545-5977
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Country | US
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Telephone | 617-272-7728
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTICIONER
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Name | SARLAH BERNARD
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Credential | PMHNP-BC
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Telephone | 617-272-7728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0812X
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Taxonomy Name | Community Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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