MDM CREATIVE COUNSELING SERVICES LLC NPI 1740160662

NPI Information

  • NPI: 1740160662
  • Provider Name: MDM CREATIVE COUNSELING SERVICES LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 140 AUBURN ST
    BRIDGEWATER, MA
    ZIP 02324
  • Phone: (857) 244-4889

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NPI Details

MDM CREATIVE COUNSELING SERVICES LLC is an adolescent and children mental health clinic center in Bridgewater, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. MDM CREATIVE COUNSELING SERVICES LLC NPI is 1740160662. The provider is registered as an organization entity type.

The provider's business location address is:

140 AUBURN ST
BRIDGEWATER, MA
ZIP 02324-404
Phone: (857) 244-4889

The provider's authorized official is Miaisha Murrell .
The authorized official title is Ceo and has the following contact phone number (587) 244-8449.

The enumeration date for this NPI number is 9/3/2025 and was last updated on 9/3/2025.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental 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: 11/21/2025

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