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SO .SHORE MENTAL HEALTH NPI 1922180538


NPI Information

NPI: 1922180538
Provider Name: SO .SHORE MENTAL HEALTH
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
215 SANDWICH RD
WAREHAM, MA
ZIP 02571
Phone: (508) 291-8425
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SO .SHORE MENTAL HEALTH is a counselor in Wareham, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SO .SHORE MENTAL HEALTH NPI is 1922180538. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 SANDWICH RD
WAREHAM, MA
ZIP 02571-637
Phone: (508) 291-8425

The provider's authorized official is Lu Fernandez .
The authorized official title is Office Coordiator and has the following contact phone number (617) 741-1490.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor105914MASSACHUSETTSYes

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: 4/28/2024

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