Active NPIOrganization

Waterlily Wellness, LLC

Clinic/Center in Medford, Massachusetts

NPI Number1063268639
Practice location
0 Governors Ave Ste 2, Medford, MA 02155-3037
Fax
617-977-9728
Last updated
April 25, 2024

Waterlily Wellness, LLC is a healthcare organization based in Medford, MA. Waterlily Wellness, LLC practices in Medford, MA. The NPI Number for Waterlily Wellness, LLC is 1063268639. The current practice location address for Waterlily Wellness, LLC is 0 Governors Ave Ste 2, Medford, MA 02155-3037 and can be reached out via phone at 179-028-7696 and via fax at 617-977-9728.

Provider Profile Details

NPI Number
1063268639
Provider Name
Waterlily Wellness, LLC
Provider Entity Type
Organization
Address
0 Governors Ave Ste 2, Medford, MA 02155-3037
Phone Number
179-028-7696
Fax Number
617-977-9728
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Kathia Kirschner, LIC AC · Owner · 617-902-8769
Other Names
Waterlily Wellness (Doing Business As)
Provider Enumeration Date
April 25, 2024
Last Update Date
April 25, 2024
Certification Date
April 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
0 Governors Ave Ste 2
Medford, MA 02155-3037
Zip
02155-3037
Phone Number
179-028-7696
Fax Number
617-977-9728
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
0 Governors Ave Ste 2
Medford, MA 02155-3037
City
Medford
State
MA
Zip
02155-3037
Phone Number
179-028-7696
Fax Number
617-977-9728

License Information

Taxonomy
Clinic/Center · 261Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Waterlily Wellness, LLC?

The NPI number of Waterlily Wellness, LLC is 1063268639. It was assigned on April 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Waterlily Wellness, LLC?

Waterlily Wellness, LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).

Where does Waterlily Wellness, LLC practice?

The practice location is 0 Governors Ave Ste 2, Medford, MA 02155-3037. The office can be reached at 179-028-7696 (phone) or 617-977-9728 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063268639 directly on the NPPES registry website.

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