MEDICARE: B FREE WELLNESS INC.

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	:	1841863362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B FREE WELLNESS INC.

Provider Business Mailing Address
First Line	:	2B HAROLD ST
Second Line	:
City	:	HARWICH PORT
State	:	MA
Zip	:	02646-1517
Country	:	US
Telephone Number	:	617-817-7005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2B HAROLD ST
Second Line	:
City	:	HARWICH PORT
State	:	MA
Zip	:	02646-1517
Country	:	US
Telephone Number	:	617-817-7005
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AYANNA PARRENT
Credential	:	LICSW
Telephone Number	:	617-817-7005

Provider Enumeration Date	:	07/22/2021
Last Update Date	:	07/22/2021

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