| Mr Craig Boland, | |
|
5232 Evergreen Dr, Wilmington, MA 01887-1182 | |
| (978) 844-1503 | |
| Not Available |
| Full Name | Mr Craig Boland |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 5232 Evergreen Dr, Wilmington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033644349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | LMHC12760 (Massachusetts) | Primary |
| Entity Name | Neighborhood Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366255283 PECOS PAC ID: 6608396981 Enrollment ID: O20250218001719 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Craig Boland, 5232 Evergreen Dr, Wilmington, MA 01887-1182 Ph: () - | Mr Craig Boland, 5232 Evergreen Dr, Wilmington, MA 01887-1182 Ph: (978) 844-1503 |
Gloria Leyla Fanning Tacoaman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Concord St Ste 1, Wilmington, MA 01887 Phone: 781-694-8787 | |
Hannah Madeline Briere, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Kelley Rd, Wilmington, MA 01887 Phone: 978-430-9998 | |
Matthew R Coyle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Concord St Ste 1, Wilmington, MA 01887 Phone: 781-440-0400 | |
Erin M Mclaughlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Concord St, Wilmington, MA 01887 Phone: 617-957-4332 | |
Jessica Goldstein, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Middlesex Ave, Wilmington, MA 01887 Phone: 978-569-4470 | |
Gregory Robert Bacos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 260 Fordham Rd, Wilmington, MA 01887 Phone: 978-315-1011 |