| Fitzgerald Counseling Group | |
| 
					21 Father Devalles Blvd Ste 15 Fall River MA 02723-1519  | |
| (978) 408-6446 | |
| Not Available | 
| Full Name | Fitzgerald Counseling Group | 
|---|---|
| Speciality | Counselor | 
| Location | 21 Father Devalles Blvd Ste 15, Fall River, Massachusetts | 
| Authorized Official Name and Position | Jill Fitzgerald (PRESIDENT) | 
| Authorized Official Contact | 9784086446 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fitzgerald Counseling Group 21 Father Devalles Blvd Ste 15 Fall River MA 02723-1519 Ph: (978) 408-6446  | Fitzgerald Counseling Group 21 Father Devalles Blvd Ste 15 Fall River MA 02723-1519 Ph: (978) 408-6446  | 
| NPI Number | 1093297616 | 
|---|---|
| Provider Enumeration Date | 08/30/2018 | 
| Last Update Date | 01/10/2024 | 
| Certification Date | 01/10/2024 | 
| Medicare PECOS PAC ID | 9436592862 | 
|---|---|
| Medicare Enrollment ID | O20240213001140 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093297616 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Jill Fitzgerald | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1588985931 PECOS PAC ID: 0345683777 Enrollment ID: I20240213001607  | 
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