| Laura Regal, | |
|
1501 Washington St, Braintree, MA 02184-7599 | |
| (508) 747-7047 | |
| Not Available |
| Full Name | Laura Regal |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 1501 Washington St, Braintree, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437762085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC10002194 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Shore Mental Health Center Inc | 4082508429 | 31 |
| 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 |