| Coastal Therapy Services Llc | |
|
145 Walker Rd Swampscott MA 01907-2935 | |
| (781) 951-0813 | |
| Not Available |
| Full Name | Coastal Therapy Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 145 Walker Rd, Swampscott, Massachusetts |
| Authorized Official Name and Position | Karen Shanahan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7819510813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Therapy Services Llc 145 Walker Rd Swampscott MA 01907-2935 Ph: (781) 951-0813 | Coastal Therapy Services Llc 145 Walker Rd Swampscott MA 01907-2935 Ph: (781) 951-0813 |
| NPI Number | 1295443182 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295443182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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