=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841171139
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FLUORESCENCE HEALTH AND WELLNESS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2025
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20 CABOT BLVD STE 300
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02048-1183
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-832-5882
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20 CABOT BLVD STE 300
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02048-1183
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-832-5882
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CASSANDRA PIERRE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 617-832-5882
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------