| New Directions Counseling Service Llc | |
|
24 Union Wharf Boston MA 02109-1202 | |
| (617) 921-4322 | |
| (781) 438-2398 |
| Full Name | New Directions Counseling Service Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 24 Union Wharf, Boston, Massachusetts |
| Authorized Official Name and Position | Judith B Fox (OUTPATIENT MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6179214322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Counseling Service Llc 24 Union Wharf Boston MA 02109-1202 Ph: (617) 921-4322 | New Directions Counseling Service Llc 24 Union Wharf Boston MA 02109-1202 Ph: (617) 921-4322 |
| NPI Number | 1063936078 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9335414481 |
|---|---|
| Medicare Enrollment ID | O20170929001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063936078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1029742 (Massachusetts) | Primary |
| Provider Name | Judith B Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386783249 PECOS PAC ID: 9436188059 Enrollment ID: I20050804000367 |
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