| Ivy Path Counseling Pllc | |
|
867 Boylston St. 5th Floor #1166 Boston MA 02116 | |
| (781) 214-1858 | |
| Not Available |
| Full Name | Ivy Path Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 867 Boylston St. 5th Floor #1166, Boston, Massachusetts |
| Authorized Official Name and Position | Heather Audette (OWNER/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7812141858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Path Counseling Pllc 867 Boylston St. 5th Floor #1166 Boston MA 02116 Ph: (781) 214-1858 | Ivy Path Counseling Pllc 867 Boylston St. 5th Floor #1166 Boston MA 02116 Ph: (781) 214-1858 |
| NPI Number | 1225745540 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225745540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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