| NPI | 1083400741 |
|---|---|
| Doing Business As | SCULLY PSYCHOTHERAPY PLLC. |
| Former Legal Business Name | SCULLY PSYCHOTHERAPY LLC. |
| Entity Type | Organization |
| Authorized Contact | JONATHAN SCULLY Behavioral Health Provider 774-633-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-12-08 |