| Beacon Street Psychotherapy Services Inc | |
|
85 E India Row Boston MA 02110-3320 | |
| (617) 642-5838 | |
| Not Available |
| Full Name | Beacon Street Psychotherapy Services Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 85 E India Row, Boston, Massachusetts |
| Authorized Official Name and Position | Leila Karam (MANAGER) |
| Authorized Official Contact | 6176425838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Street Psychotherapy Services Inc 85 E India Row Boston MA 02110-3320 Ph: (617) 642-5838 | Beacon Street Psychotherapy Services Inc 85 E India Row Boston MA 02110-3320 Ph: (617) 642-5838 |
| NPI Number | 1356846992 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356846992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8361 (Massachusetts) | Primary |
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