MY SELF OATH INC NPI 1285246959

NPI Information

  • NPI: 1285246959
  • Provider Name: MY SELF OATH, INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 33 DOVER ST STE 317
    BROCKTON, MA
    ZIP 02301
  • Phone: (508) 521-9044

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NPI Details

MY SELF OATH, INC is a mental health counselor in Brockton, MA. MY SELF OATH, INC NPI is 1285246959. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

33 DOVER ST STE 317
BROCKTON, MA
ZIP 02301-973
Phone: (508) 521-9044

The provider's authorized official is Yleis Ashley Engerman .
The authorized official title is Practice Owner and has the following contact phone number (508) 521-9044.

The enumeration date for this NPI number is 8/23/2020 and was last updated on 8/23/2020.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

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: 3/30/2025

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