COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER NPI 1548533789

NPI Information

NPI: 1548533789
Provider Name: COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
35 BURT ST
DORCHESTER, MA
ZIP 02124
Phone: (617) 282-9772
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COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER is a mental health counselor in Dorchester, MA. COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER NPI is 1548533789. The provider is registered as an organization entity type.

The provider's business location address is:

35 BURT ST
DORCHESTER, MA
ZIP 02124-705
Phone: (617) 282-9772
Fax: (617) 506-1573

The provider's authorized official is David Leon Avery .
The authorized official title is President/ceo and has the following contact phone number (617) 282-9772.

The enumeration date for this NPI number is 2/20/2012 and was last updated on 2/20/2012.

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	251S00000X	Community/Behavioral Health		572	MASSACHUSETTS	No
2	101YM0800X	Counselor	Mental Health	7173	MASSACHUSETTS	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: 11/14/2023

NPI Synchronization or Removal

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