Carola Mallol, MS, LMHC | |
180 Morton St, Jamaica Plain, MA 02130-3735 | |
(617) 626-9373 | |
(617) 626-9578 |
Full Name | Carola Mallol |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 180 Morton St, Jamaica Plain, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568680817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6135 (Massachusetts) | Primary |
Entity Name | The Commonwealth Of Massachusetts |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568587913 PECOS PAC ID: 8820906860 Enrollment ID: O20040527000489 |
Mailing Address | Practice Location Address |
---|---|
Carola Mallol, MS, LMHC 180 Morton St, Jamaica Plain, MA 02130-3735 Ph: (617) 626-9373 | Carola Mallol, MS, LMHC 180 Morton St, Jamaica Plain, MA 02130-3735 Ph: (617) 626-9373 |
Dr. Leslie Ann Ostrow, M.A., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Green St, Jamaica Plain, MA 02130 Phone: 617-983-5859 | |
Mr. Ryan Spina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Dunster Rd # 1, Jamaica Plain, MA 02130 Phone: 774-217-3137 | |
Latiaya Lanee Grooms, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Heath St, Jamaica Plain, MA 02130 Phone: 617-523-6400 Fax: 617-523-3034 | |
Miss Taylor Gabrielle Platon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3313 Washington St, Ste 2, Jamaica Plain, MA 01801 Phone: 781-854-8564 | |
Cassidy Bingham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Green St, Jamaica Plain, MA 02130 Phone: 617-524-1120 | |
Lisa M Searcy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Amory St Ste 300, Jamaica Plain, MA 02130 Phone: 617-522-0900 | |
Sheri Kim Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-892-7942 |