MEDICARE: MINDWELL THERAPIES, LLC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1487543179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDWELL THERAPIES, LLC

Provider Business Mailing Address
First Line	:	1161 MAIN ST
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-1222
Country	:	US
Telephone Number	:	508-523-2662
Fax Number	:

Provider Business Practice Location Address
First Line	:	1161 MAIN ST
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-1222
Country	:	US
Telephone Number	:	508-523-2662
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHELLEY ASHTON-BRIGGS
Credential	:
Telephone Number	:	508-523-2662

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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Directions to “MINDWELL THERAPIES, LLC ” Practice Location

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