Provider Demographics
NPI:1952892333
Name:NEWBURYPORT OFFICE OF WELLNESS
Entity Type:Organization
Organization Name:NEWBURYPORT OFFICE OF WELLNESS
Other - Org Name:KENDRA DELGAUDIO MURPHY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-858-4194
Mailing Address - Street 1:9 PARKER RIVER DR
Mailing Address - Street 2:
Mailing Address - City:BYFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01922-1511
Mailing Address - Country:US
Mailing Address - Phone:617-858-4194
Mailing Address - Fax:
Practice Address - Street 1:32 WATER ST UNIT 3
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2726
Practice Address - Country:US
Practice Address - Phone:617-858-4194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9318101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty