| Ms Joi D Allen, LMHC | |
|
10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | |
| (781) 269-2774 | |
| (781) 394-8377 |
| Full Name | Ms Joi D Allen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 10 Mazzeo Dr Ste 206, Randolph, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790020956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10200 (Massachusetts) | Primary |
| Entity Name | Safe Space Therapeutic Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063044774 PECOS PAC ID: 5294262085 Enrollment ID: O20241218000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Joi D Allen, LMHC 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 Ph: (781) 269-2774 | Ms Joi D Allen, LMHC 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 Ph: (781) 269-2774 |
Kafunda Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Rene Schwiesow, Counselor Medicare: Medicare Enrolled Practice Location: 41 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Alexander Gasdia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Courtney Destremps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Mr. Michael Thomas Quinn, BCBA SPED Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr., May Institute, Randolph, MA 02368 Phone: 781-437-1400 | |
Victoria Symkus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Gabrielle N Bartholomew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 |