Active NPIOrganization

Lavender St Health & Wellness LLC

Nurse Practitioner, Psych/Mental Health in Millis, Massachusetts

NPI Number1871391169
Practice location
16 Lavender St, Millis, MA 02054-1257
Fax
774-272-8482
Last updated
May 13, 2026

Lavender St Health & Wellness LLC is a healthcare organization based in Millis, MA. Lavender St Health & Wellness LLC practices in Millis, MA. The NPI Number for Lavender St Health & Wellness LLC is 1871391169. The current practice location address for Lavender St Health & Wellness LLC is 16 Lavender St, Millis, MA 02054-1257 and can be reached out via phone at 774-901-4949 and via fax at 774-272-8482.

Provider Profile Details

NPI Number
1871391169
Provider Name
Lavender St Health & Wellness LLC
Provider Entity Type
Organization
Address
16 Lavender St, Millis, MA 02054-1257
Phone Number
774-901-4949
Fax Number
774-272-8482
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Pamela Jane Matthews, DNP · Owner · 774-901-4949
Provider Enumeration Date
March 4, 2025
Last Update Date
May 13, 2026
Certification Date
May 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Lavender St
Millis, MA 02054-1257
City
Millis
Zip
02054-1257
Phone Number
774-901-4949
Fax Number
774-272-8482
Millis, MA 02054Get directions →

Provider Business Mailing Address Details

Address
16 Lavender St
Millis, MA 02054-1257
City
Millis
State
MA
Zip
02054-1257
Phone Number
774-901-4949
Fax Number
774-272-8482

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Lavender St Health & Wellness LLC?

The NPI number of Lavender St Health & Wellness LLC is 1871391169. It was assigned on March 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Lavender St Health & Wellness LLC?

Lavender St Health & Wellness LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Lavender St Health & Wellness LLC practice?

The practice location is 16 Lavender St, Millis, MA 02054-1257. The office can be reached at 774-901-4949 (phone) or 774-272-8482 (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 1871391169 directly on the NPPES registry website.

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