Ashley Doherty, | |
12 Southern Ave, Dorchester, MA 02124-2012 | |
(617) 708-0870 | |
Not Available |
Full Name | Ashley Doherty |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 12 Southern Ave, Dorchester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902431455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Fathers Uplift Family Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174975452 PECOS PAC ID: 7012334774 Enrollment ID: O20200827000236 |
Mailing Address | Practice Location Address |
---|---|
Ashley Doherty, 9 Warren St, Stoneham, MA 02180-3557 Ph: (781) 413-6723 | Ashley Doherty, 12 Southern Ave, Dorchester, MA 02124-2012 Ph: (617) 708-0870 |
Thomika Marie Bridwell-paul, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Waumbeck St, Apt 2, Dorchester, MA 02121 Phone: 617-388-3307 | |
Florence Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 434 Warren St, Dorchester, MA 02121 Phone: 617-989-0260 Fax: 617-989-0276 | |
Mr. Jerry Short, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Crestwood Park, Dorchester, MA 02121 Phone: 617-312-9564 | |
Uwanda Audria Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Redfield St, Dorchester, MA 02122 Phone: 617-288-7450 | |
Miguelina Mata, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Redfield St, Suite 300, Dorchester, MA 02122 Phone: 617-288-7450 | |
Kaeleigh Cherisse De Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Southern Ave, Dorchester, MA 02124 Phone: 617-708-0870 | |
Auta Rocha Almeida, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Washington St, Dorchester, MA 02121 Phone: 617-534-9954 Fax: 847-822-2345 |