Whitley Wellness LLC
Community/Behavioral Health in Charlestown, Massachusetts
1205298148- Practice location
- 8 Shipway Pl # C-8, Charlestown, MA 02129-4301
- Phone
- 325-439-9799
- Fax
- 617-987-9739
- Last updated
- March 19, 2018
Whitley Wellness LLC is a healthcare organization based in Charlestown, MA. Whitley Wellness LLC practices in Charlestown, MA. The NPI Number for Whitley Wellness LLC is 1205298148 and holds a License No. RN2267850 (MA). The current practice location address for Whitley Wellness LLC is 8 Shipway Pl # C-8, Charlestown, MA 02129-4301 and can be reached out via phone at 325-439-9799 and via fax at 617-987-9739.
Provider Profile Details
- NPI Number
- 1205298148
- Provider Name
- Whitley Wellness LLC
- Provider Entity Type
- Organization
- Address
- 8 Shipway Pl # C-8, Charlestown, MA 02129-4301
- Phone Number
- 325-439-9799
- Fax Number
- 617-987-9739
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Geoffrey Whitley, NP-C · Owner · 617-620-9757
- Provider Enumeration Date
- March 21, 2016
- Last Update Date
- March 19, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8 Shipway Pl # C-8
Charlestown, MA 02129-4301 - City
- Charlestown
- State
- Massachusetts
- Zip
- 02129-4301
- Phone Number
- 325-439-9799
- Fax Number
- 617-987-9739
Provider Business Mailing Address Details
- Address
- 8 Shipway Pl # C-8
Charlestown, MA 02129-4301 - City
- Charlestown
- State
- MA
- Zip
- 02129-4301
- Phone Number
- 325-439-9799
License Information
- License Number (1)
- RN2267850
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Nutrition Support · 163WN1003X
- License Number (2)
- RN2267850
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (4)
- Dietitian, Registered · 133V00000X
- License Number (5)
- 1099
- License State (5)
- MA
- Taxonomy (5)
- Massage Therapist · 225700000X
- License Number (6)
- RN2267850
- License State (6)
- MA
- Taxonomy (6)
- Nurse Practitioner, Family · 363LF0000X
- Taxonomy (7)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Taxonomy (8)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Charlestown, MA
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- Med Care Unit INCDurable Medical Equipment & Medical Supplies · NPI 1851217871
- Allison MorinOccupational Therapist · NPI 1962306779
- Maria GagliardiStudent in an Organized Health Care Education/Training Program · NPI 1154227957
- Sydney K Brigido, LCSWSocial Worker, Clinical · NPI 1063318418
Frequently Asked Questions
What is the NPI number of Whitley Wellness LLC?
The NPI number of Whitley Wellness LLC is 1205298148. It was assigned on March 21, 2016 and is currently active in the NPPES registry.
What is the specialty of Whitley Wellness LLC?
Whitley Wellness LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number RN2267850.
Where does Whitley Wellness LLC practice?
The practice location is 8 Shipway Pl # C-8, Charlestown, MA 02129-4301. The office can be reached at 325-439-9799 (phone) or 617-987-9739 (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 1205298148 directly on the NPPES registry website.