| Headwaters Consulting Group, Llc | |
|
75 2nd Ave Needham Heights MA 02494-2820 | |
| (617) 691-0338 | |
| Not Available |
| Full Name | Headwaters Consulting Group, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 75 2nd Ave, Needham Heights, Massachusetts |
| Authorized Official Name and Position | Kyle John Craig (CO-FOUNDER) |
| Authorized Official Contact | 6177042391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headwaters Consulting Group, Llc 30 Maple St Braintree MA 02184-4613 Ph: (617) 704-2391 | Headwaters Consulting Group, Llc 75 2nd Ave Needham Heights MA 02494-2820 Ph: (617) 691-0338 |
| NPI Number | 1235992967 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235992967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
Van Dusen Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 163 Highland Ave, Needham Heights, MA 02494 Phone: 781-343-1592 |