Provider Demographics
NPI:1790155802
Name:WOME OF POWER
Entity Type:Organization
Organization Name:WOME OF POWER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL-MELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-840-6902
Mailing Address - Street 1:420 N MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3703
Mailing Address - Country:US
Mailing Address - Phone:508-840-6902
Mailing Address - Fax:781-961-6716
Practice Address - Street 1:420 N MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-3703
Practice Address - Country:US
Practice Address - Phone:508-840-6902
Practice Address - Fax:781-961-6716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty