| Audrey Gavin, | |
|
34 Russell St, Milton, MA 02186-3535 | |
| (617) 331-0051 | |
| Not Available |
| Full Name | Audrey Gavin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 34 Russell St, Milton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053609081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 219589 (Massachusetts) | Primary |
| Entity Name | South Shore Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770528317 PECOS PAC ID: 4082508429 Enrollment ID: O20040226000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Gavin, 34 Russell St, Milton, MA 02186-3535 Ph: (617) 331-0051 | Audrey Gavin, 34 Russell St, Milton, MA 02186-3535 Ph: (617) 331-0051 |
Dolores Ann Shea, LMHC, M.S. Counselor Medicare: Accepting Medicare Assignments Practice Location: 51 Bartons Lane, Milton, MA 02186 Phone: 617-504-3574 Fax: 617-690-2717 | |
Ms. Denna Mary Gilot, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2 Granite Ave Ste 260, Milton, MA 02186 Phone: 857-203-7001 | |
Alexis C Umeh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Big Blue Dr, Milton, MA 02186 Phone: 617-849-4433 | |
Abigail Sayre, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 234 Granite Ave, Milton, MA 02186 Phone: 617-286-6675 | |
Lisa Wallace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Farmer Rd, Milton, MA 02186 Phone: 617-615-5727 | |
Katherine Sullivan-maher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Briarfield Rd, Milton, MA 02186 Phone: 617-698-6899 |