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TEENS AGAINST GANG VIOLENCE NPI 1649516220


NPI Information

NPI: 1649516220
Provider Name: TEENS AGAINST GANG VIOLENCE

Doing Business As: TEENS ADVOCATING A GLOBAL VISION

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
735 MORRISSEY BLVD
BOSTON, MA
ZIP 02122
Phone: (617) 365-0637
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TEENS AGAINST GANG VIOLENCE is an addiction (substance use disorder) counselor in Boston, MA. TEENS AGAINST GANG VIOLENCE NPI is 1649516220. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Teens Advocating A Global Vision.

The provider's business location address is:

735 MORRISSEY BLVD
BOSTON, MA
ZIP 02122-406
Phone: (617) 365-0637
Fax: (617) 282-9659

The provider's authorized official is Ulric R Johnson .
The authorized official title is Owner and has the following contact phone number 61733650637.

The enumeration date for this NPI number is 12/30/2012 and was last updated on 2/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health265MASSACHUSETTSNo
2106H00000XMarriage & Family Therapist149MASSACHUSETTSNo
3101YA0400XCounselorAddiction (Substance Use Disorder)40MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.