Provider Demographics
NPI:1073074183
Name:CMS WELLNESS LLC
Entity Type:Organization
Organization Name:CMS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUBEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-232-3866
Mailing Address - Street 1:45 STERLING ST STE 35
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1268
Mailing Address - Country:US
Mailing Address - Phone:774-232-3866
Mailing Address - Fax:
Practice Address - Street 1:45 STERLING ST STE 35
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1268
Practice Address - Country:US
Practice Address - Phone:774-232-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health