| Brach Evaluation And Consulting, Llc | |
|
1371 Beacon St Brookline MA 02446-4905 | |
| (617) 232-2435 | |
| (617) 232-0078 |
| Full Name | Brach Evaluation And Consulting, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1371 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | Elizabeth Brach (MANAGER) |
| Authorized Official Contact | 7818638165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brach Evaluation And Consulting, Llc 10 Plymouth Rd Lexington MA 02421-5811 Ph: (781) 863-8165 | Brach Evaluation And Consulting, Llc 1371 Beacon St Brookline MA 02446-4905 Ph: (617) 232-2435 |
| NPI Number | 1528842861 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Medicare PECOS PAC ID | 9436590858 |
|---|---|
| Medicare Enrollment ID | O20240515003253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528842861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Laura Brach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710450481 PECOS PAC ID: 1254772676 Enrollment ID: I20240515003305 |
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