| Unlimited Behavioral Health Services | |
|
348 North Pearl Street Rm Brockton MA 02301-1197 | |
| (508) 510-5940 | |
| (508) 510-6903 |
| Full Name | Unlimited Behavioral Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 348 North Pearl Street, Brockton, Massachusetts |
| Authorized Official Name and Position | Barbara A King (PRESIDENT) |
| Authorized Official Contact | 5085105940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlimited Behavioral Health Services 348 North Pearl Street Rm 8 Brockton MA 02301-1197 Ph: (508) 510-5940 | Unlimited Behavioral Health Services 348 North Pearl Street Rm Brockton MA 02301-1197 Ph: (508) 510-5940 |
| NPI Number | 1790189439 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 04/16/2017 |
| Medicare PECOS PAC ID | 6901166552 |
|---|---|
| Medicare Enrollment ID | O20180131000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790189439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Massachusetts) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Helen Nikitin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194847954 PECOS PAC ID: 7315194016 Enrollment ID: I20120831000521 |
| Provider Name | Ludger Labissiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366796070 PECOS PAC ID: 7012205446 Enrollment ID: I20161018000685 |
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