Provider Demographics
NPI:1023600939
Name:OPTIONS IN WELLNESS
Entity type:Organization
Organization Name:OPTIONS IN WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:STANTON
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:978-505-3698
Mailing Address - Street 1:1536 MAIN ST APT B
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2826
Mailing Address - Country:US
Mailing Address - Phone:978-505-3698
Mailing Address - Fax:
Practice Address - Street 1:1536 MAIN ST APT B
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2826
Practice Address - Country:US
Practice Address - Phone:978-505-3698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center