BLACKBIRD COUNSELING NPI 1235746546

NPI Information

NPI: 1235746546
Provider Name: BLACKBIRD COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
28 RIVERSIDE DR STE 270
PEMBROKE, MA
ZIP 02359
Phone: (774) 773-6300
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BLACKBIRD COUNSELING is a mental health counselor in Pembroke, MA. BLACKBIRD COUNSELING NPI is 1235746546. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28 RIVERSIDE DR STE 270
PEMBROKE, MA
ZIP 02359-947
Phone: (774) 773-6300

The provider's authorized official is Justine Carlucci .
The authorized official title is Co-owner and has the following contact phone number (339) 235-5116.

The enumeration date for this NPI number is 9/30/2020 and was last updated on 1/25/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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

NPI Synchronization or Removal

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