| Laura Regal, | |
| 
					1501 Washington St, Braintree, MA 02184-7599  | |
| (508) 747-7047 | |
| Not Available | 
| Full Name | Laura Regal | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 1501 Washington St, Braintree, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437762085 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC10002194 (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 | 
|---|---|
| Laura Regal, 46 Cleverly Ct Apt 10, Quincy, MA 02169-7300 Ph: () -  | Laura Regal, 1501 Washington St, Braintree, MA 02184-7599 Ph: (508) 747-7047  | 
Thomas W Taborelli, MS CCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Washington St, 2nd Flr, Braintree, MA 02184 Phone: 617-847-1950 Fax: 949-699-0535  | |
Josh Coronis,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 106, Braintree, MA 02184 Phone: 781-817-6675  | |
Maya A. Williams,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-843-3683  | |
Chantelle Freeman,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-428-4904 Fax: 781-848-0206  | |
Julius Enang,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-492-6408  | |
Claire Casserly,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 781-817-6675 Fax: 781-817-6745  | |
Samantha Small,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 508-678-2833  |