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NPI Code Detail

MEDICARE: BLISS HOLISTIC PSYCHIATRY PLLC

MEDICARE: BLISS HOLISTIC PSYCHIATRY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1205613007
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLISS HOLISTIC PSYCHIATRY PLLC
Provider Business Mailing Address
First Line : 105 WEBSTER ST STE 5
Second Line :
City : HANOVER
State : MA
Zip : 02339-1227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 WEBSTER ST STE 5
Second Line :
City : HANOVER
State : MA
Zip : 02339-1227
Country : US
Telephone Number : 401-321-4618
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : ANNA NAEVA
Credential : PMHNP-BC
Telephone Number : 401-321-4618
Provider Enumeration Date : 09/13/2023
Last Update Date : 02/18/2026

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Directions to “BLISS HOLISTIC PSYCHIATRY PLLC ” Practice Location

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