| New Destiny Llc | |
|
535 S Main St Randolph MA 02368-5261 | |
| (617) 750-5763 | |
| (508) 433-1871 |
| Full Name | New Destiny Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 535 S Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Teresa Griffin (OWNER) |
| Authorized Official Contact | 6177505763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Destiny Llc Po Box 526 North Easton MA 02356-0526 Ph: (617) 750-5763 | New Destiny Llc 535 S Main St Randolph MA 02368-5261 Ph: (617) 750-5763 |
| NPI Number | 1609546316 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609546316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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