NPI 1073152153
Authentic Wellness Therapy LLC
Practice location
- Address
- Authentic Wellness Therapy LLC 300 West Main Street, Building B, Northborough, MA 01532
- Phone
- (508) 471-6410
- Mailing address
- PO Box 2, Sterling, MA 01564-0002
Authorised official
- Name
- Jillian Garofano-Staines
- Title
- Clinician/Owner
- Phone
- (508) 471-6410
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1073152153
- Entity type
- Organization
- NPI issued
- 6 Jan 2020
- Record last updated
- 6 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.