OrganizationActive
Fourth Space Wellness, P.L.L.C.
NPI 1811872807 · Mental Health Clinic/Center (Including Community Mental Health Center) · Manchester, NH
Provider details
- NPI number
- 1811872807
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Seebeck, Manager Owner(603) 315-7197
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
497 Hooksett Rd
Manchester, NH 03104-2698
Phone: (603) 945-0865
Fax: (603) 782-9328
Street-level locationGet directions
Mailing address
497 Hooksett Rd
Manchester, NH 03104-2698
Registry dates
- Enumerated
- 2025-08-08
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.