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529 Pearl St Brockton MA 02301-2825 | |
| (508) 580-2211 | |
| (508) 427-1772 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 529 Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | David Starr (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5085802211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
22 Tracey Ln Sharon MA 02067-3132 Ph: (508) 580-2211 | 529 Pearl St Brockton MA 02301-2825 Ph: (508) 580-2211 |
| NPI Number | 1093924151 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093924151 | NPI | - | NPPES |
| 500204 | Other | MA | TUFTS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1505 (Massachusetts) | Primary |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
Bmc Community Hospital Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 |