MEDICARE: BRENNAN WELLNESS GROUP 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1588354617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRENNAN WELLNESS GROUP LLC

Provider Business Mailing Address
First Line	:	677 QUINCY SHORE DR APT 107
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02170-2200
Country	:	US
Telephone Number	:	617-952-8735
Fax Number	:

Provider Business Practice Location Address
First Line	:	677 QUINCY SHORE DR APT 107
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02170-2200
Country	:	US
Telephone Number	:	617-952-8735
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KATHLEEN BRENNAN
Credential	:	LMHC, LADC I
Telephone Number	:	617-952-8735

Provider Enumeration Date	:	05/11/2023
Last Update Date	:	04/17/2026

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Directions to “BRENNAN WELLNESS GROUP LLC ” Practice Location

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