Provider Demographics
NPI:1376265652
Name:SDH WELLNESS LLC
Entity Type:Organization
Organization Name:SDH WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER; LICSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:DALSHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-864-2737
Mailing Address - Street 1:1660 SOLDIERS FIELD RD STE 7
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1108
Mailing Address - Country:US
Mailing Address - Phone:857-301-7510
Mailing Address - Fax:855-218-6200
Practice Address - Street 1:40 ATKINS ST UNIT 1
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1619
Practice Address - Country:US
Practice Address - Phone:781-864-2737
Practice Address - Fax:855-218-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty