Provider Demographics
NPI:1881390185
Name:110 WELLNESS & COUNSELING
Entity type:Organization
Organization Name:110 WELLNESS & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HALLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOINIERE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-259-3944
Mailing Address - Street 1:53 ANTHONY RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3120
Mailing Address - Country:US
Mailing Address - Phone:508-259-3944
Mailing Address - Fax:
Practice Address - Street 1:54 SOUTH ST, #2
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-0203
Practice Address - Country:US
Practice Address - Phone:508-259-3944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health