Provider Demographics
NPI:1659904878
Name:WELL PSYCHOTHERAPY, PC
Entity Type:Organization
Organization Name:WELL PSYCHOTHERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUESO
Authorized Official - Suffix:
Authorized Official - Credentials:MS PSYAD, LMHC
Authorized Official - Phone:508-314-9705
Mailing Address - Street 1:20 RIVERVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-2920
Mailing Address - Country:US
Mailing Address - Phone:508-314-9705
Mailing Address - Fax:
Practice Address - Street 1:18 GROVE ST STE 8
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7705
Practice Address - Country:US
Practice Address - Phone:508-314-9705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty