MR. BRANDON TERRELL-ROBERT GHOLSON MS NPI 1639420011

NPI Information

NPI: 1639420011
Provider Name: MR. BRANDON TERRELL-ROBERT GHOLSON, M,S,
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
313 CONGRESS ST
BOSTON, MA
ZIP 02210
Phone: (617) 790-4908
Get Directions

MR. Brandon Terrell-robert Gholson, M,S, is a mental health counselor in Boston, MA. MR. Brandon Terrell-robert Gholson, M,S, NPI is 1639420011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

313 CONGRESS ST
BOSTON, MA
ZIP 02210-218
Phone: (617) 790-4908

The enumeration date for this NPI number is 9/26/2012 and was last updated on 9/26/2012.

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	101YM0800X	Counselor	Mental Health		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

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.

« Previous NPI

Next NPI »