| Mr Brandon Terrell-robert Gholson, M,S, | |
| 
					313 Congress St, Boston, MA 02210-1218  | |
| (617) 790-4908 | |
| Not Available | 
| Full Name | Mr Brandon Terrell-robert Gholson | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 313 Congress St, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639420011 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary | 
| Entity Name | Reunited | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124731476 PECOS PAC ID: 1355713264 Enrollment ID: O20230202000117  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Brandon Terrell-robert Gholson, M,S, 313 Congress St, Boston, MA 02210-1218 Ph: (617) 790-4908  | Mr Brandon Terrell-robert Gholson, M,S, 313 Congress St, Boston, MA 02210-1218 Ph: (617) 790-4908  | 
Ms. Anna Roglieri,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
David Bailey,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Sycamore St Apt 2, Boston, MA 02131 Phone: 857-383-9811  | |
Bena Berry,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Staniford St, Boston, MA 02114 Phone: 978-728-2659  | |
Sophia Butowicz, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 E Dedham St, Boston, MA 02118 Phone: 617-581-5937  | |
Mehak Avasthi,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W 2nd St Apt 8, Boston, MA 02127 Phone: 413-399-2926  | |
Trevor Michael Todd Jr.,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Harrison Ave Ste 250, Boston, MA 02118 Phone: 617-238-4910  | |
Rachel Leschernier, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 Topeka St, Boston, MA 02118 Phone: 617-442-1499  |