Nurtured Self Therapy PLLC
Social Worker, Clinical in Boston, MA. Organization (NPI-2).
NPI number1619811965
StatusActive
Last updated in NPPESApr 16, 2026
Details
- NPI
- 1619811965
- Entity type
- Organization (NPI-2)
- Legal business name
- Nurtured Self Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2026
- Certification date
- Apr 16, 2026
- Last updated
- Apr 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
52 Joy St Apt 4Boston, MA 02114-4033
Phone 617-453-8362
Mailing address
52 Joy St Apt 4Boston, MA 02114-4033
Phone 617-453-8362
Authorized official
Amanda Moffettone
Owner
6174538362
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