HEADWATERS CONSULTING GROUP LLC NPI 1235992967

NPI Information

NPI: 1235992967
Provider Name: HEADWATERS CONSULTING GROUP, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
75 2ND AVE
NEEDHAM HEIGHTS, MA
ZIP 02494
Phone: (617) 691-0338
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HEADWATERS CONSULTING GROUP, LLC is a mental health counselor in Needham Heights, MA. HEADWATERS CONSULTING GROUP, LLC NPI is 1235992967. The provider is registered as an organization entity type.

The provider's business location address is:

75 2ND AVE
NEEDHAM HEIGHTS, MA
ZIP 02494-820
Phone: (617) 691-0338

The provider's authorized official is Kyle John Craig .
The authorized official title is Co-founder and has the following contact phone number (617) 704-2391.

The enumeration date for this NPI number is 2/5/2024 and was last updated on 2/5/2024.

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	251B00000X	Case Management				No
2	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: 5/5/2024

NPI Synchronization or Removal

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