Whalio Doctors

NPI 1114689023

Boss Wellness, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Lake Mary, FL

Practice location

Address
3551 W Lake Mary Blvd STE 208, Lake Mary, FL 32746-3460
Phone
(407) 308-0122
Fax
(407) 264-6348
Mailing address
1255 Saint Albans Loop, Lake Mary, FL 32746-1979

Authorised official

Name
Shantala M Boss
Title
Owner
Phone
(407) 308-0122

Registered specialties (4)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1114689023
Entity type
Organization
NPI issued
7 Oct 2021
Record last updated
7 Oct 2021

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.