NPI 1114689023
Boss Wellness, LLC
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
Community/Behavioral Health Agency
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
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.