| Blackbird Counseling | |
|
28 Riverside Dr Ste 270 Pembroke MA 02359-4947 | |
| (774) 773-6300 | |
| Not Available |
| Full Name | Blackbird Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 28 Riverside Dr Ste 270, Pembroke, Massachusetts |
| Authorized Official Name and Position | Justine Carlucci (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3392355116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackbird Counseling 28 Riverside Dr Ste 270 Pembroke MA 02359-4947 Ph: (774) 773-6300 | Blackbird Counseling 28 Riverside Dr Ste 270 Pembroke MA 02359-4947 Ph: (774) 773-6300 |
| NPI Number | 1215511332 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215511332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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