| Behavioral Health Affiliates, Llc | |
|
84 High St Suite 2a Medford MA 02155-3844 | |
| (781) 393-0009 | |
| (781) 395-2909 |
| Full Name | Behavioral Health Affiliates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 84 High St, Medford, Massachusetts |
| Authorized Official Name and Position | Rhonda Lee Black (MANAGING PARTNER) |
| Authorized Official Contact | 7813930009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Affiliates, Llc 84 High St Suite 2a Medford MA 02155-3844 Ph: (781) 393-0009 | Behavioral Health Affiliates, Llc 84 High St Suite 2a Medford MA 02155-3844 Ph: (781) 393-0009 |
| NPI Number | 1215052592 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032163001 |
|---|---|
| Medicare Enrollment ID | O20070719000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215052592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary |
| Provider Name | Rhonda L Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538214176 PECOS PAC ID: 1759335722 Enrollment ID: I20050917000120 |
| Provider Name | Beth B Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801941448 PECOS PAC ID: 6103870175 Enrollment ID: I20051005000319 |
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