Gateway Consultation And Counseling Services Llc in Braintree - Clinical
Gateway Consultation And Counseling Services Llc - NPI 1528267291
Gateway Consultation And Counseling Services Llc is a Clinical in Braintree, Massachusetts. Gateway Consultation And Counseling Services Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gateway Consultation And Counseling Services Llc is 1528267291. The last update date is 2008-01-03.
Gateway Consultation And Counseling Services Llc's current location address is 639 Granite St, Braintree, Massachusetts. You can contact this provider via phone number 6176808096 and fax number 7818439199. The mailing address for Gateway Consultation And Counseling Services Llc is 639 Granite St, Braintree, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gateway Consultation And Counseling Services Llc |
|---|---|
| Address | 639 Granite St, Braintree, Massachusetts |
| Phone Number | 6176808096 |
| Fax Number | 7818439199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bullis P David |
| Credentials | PH.D. |
| Telephone Number | 6176808096 |
NPI Number Detail
| NPI Number | 1528267291 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | 639 Granite St |
|---|---|
| City | Braintree |
| State | Massachusetts (MA) |
| Post Code | 21845366 |
| Phone Number | 6176808096 |
| Fax Number | 7818439199 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6826 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W10653 | MA | BLUE CROSS BLUE SHIELD | |
| 9758551 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gateway Consultation And Counseling Services Llc by the Centers for Medicare & Medicaid Services?
The Gateway Consultation And Counseling Services Llc has been issued the NPI (National Provider Identifier) 1528267291 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Gateway Consultation And Counseling Services Llc located?
The Gateway Consultation And Counseling Services Llc is located at 639 Granite St, Braintree, MA 21845366.
What is Gateway Consultation And Counseling Services Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gateway Consultation And Counseling Services Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did Gateway Consultation And Counseling Services Llc receive its 1528267291 assignment from the Centers for Medicare & Medicaid Services?
The Gateway Consultation And Counseling Services Llc was assigned its 1528267291 on 2007-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gateway Consultation And Counseling Services Llc most recently updated or revised?
The information pertaining to Gateway Consultation And Counseling Services Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-03.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN