Provider Demographics
NPI:1780202291
Name:SAWYER WELLNESS GROUP
Entity Type:Organization
Organization Name:SAWYER WELLNESS GROUP
Other - Org Name:PAUL SAWYER, LICSW
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-404-8467
Mailing Address - Street 1:24 LINCOLN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:NEWTON HIGHLANDS
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1561
Mailing Address - Country:US
Mailing Address - Phone:508-404-8467
Mailing Address - Fax:
Practice Address - Street 1:24 LINCOLN ST STE 3
Practice Address - Street 2:
Practice Address - City:NEWTON HIGHLANDS
Practice Address - State:MA
Practice Address - Zip Code:02461-1561
Practice Address - Country:US
Practice Address - Phone:508-404-8467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)