Provider Demographics
NPI:1437020674
Name:MEZWELL BEHAVIORAL HEALTH PLLC
Entity type:Organization
Organization Name:MEZWELL BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRADE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:508-466-6137
Mailing Address - Street 1:150 GROSSMAN DR STE 205
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4947
Mailing Address - Country:US
Mailing Address - Phone:508-466-6137
Mailing Address - Fax:508-251-5081
Practice Address - Street 1:150 GROSSMAN DR STE 205
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4947
Practice Address - Country:US
Practice Address - Phone:508-466-6137
Practice Address - Fax:508-251-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty