Mr Brandon Terrell-robert Gholson, M,S, | |
313 Congress St, Boston, MA 02210-1218 | |
(617) 790-4908 | |
Not Available |
Full Name | Mr Brandon Terrell-robert Gholson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 313 Congress St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639420011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary |
Entity Name | Reunited |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124731476 PECOS PAC ID: 1355713264 Enrollment ID: O20230202000117 |
Mailing Address | Practice Location Address |
---|---|
Mr Brandon Terrell-robert Gholson, M,S, 313 Congress St, Boston, MA 02210-1218 Ph: (617) 790-4908 | Mr Brandon Terrell-robert Gholson, M,S, 313 Congress St, Boston, MA 02210-1218 Ph: (617) 790-4908 |
Ms. Anna Roglieri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
David Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Sycamore St Apt 2, Boston, MA 02131 Phone: 857-383-9811 | |
Bena Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Staniford St, Boston, MA 02114 Phone: 978-728-2659 | |
Mehak Avasthi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W 2nd St Apt 8, Boston, MA 02127 Phone: 413-399-2926 | |
Anthony Dussard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Congress St Fl 5, Boston, MA 02210 Phone: 987-216-0256 | |
Dr. Carole Ruth Bohn, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Bay State Rd, Boston, MA 02215 Phone: 617-353-3047 Fax: 617-353-5539 | |
Jolie Pate, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Bowdoin St, Boston, MA 02114 Phone: 857-891-9479 |