MR. MATTHEW TAYLOR MIRACLE BA NPI 1689921397

NPI Information

  • NPI: 1689921397
  • Provider Name: MR. MATTHEW TAYLOR MIRACLE, BA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 80 WORCESTER ST
    NORTH GRAFTON, MA
    ZIP 01536
  • Phone: (774) 293-1116

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NPI Details

MR. Matthew Taylor Miracle, BA is a mental health counselor in North Grafton, MA. MR. Matthew Taylor Miracle, BA NPI is 1689921397. 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:

80 WORCESTER ST
NORTH GRAFTON, MA
ZIP 01536-041
Phone: (774) 293-1116
Fax: (774) 389-0308

The enumeration date for this NPI number is 8/13/2012 and was last updated on 5/23/2022.

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
1101YM0800XCounselorMental Health12165MASSACHUSETTSYes

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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