| Inclusion Family Counseling Center Inc | |
|
1 Centre St Ste 301 Brockton MA 02301-4095 | |
| (508) 510-4483 | |
| (508) 857-3817 |
| Full Name | Inclusion Family Counseling Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Centre St Ste 301, Brockton, Massachusetts |
| Authorized Official Name and Position | Adriano Cabral (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5085776434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusion Family Counseling Center Inc 1 Centre St Ste 301 Brockton MA 02301-4095 Ph: (508) 510-4483 | Inclusion Family Counseling Center Inc 1 Centre St Ste 301 Brockton MA 02301-4095 Ph: (508) 510-4483 |
| NPI Number | 1639690837 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638434319 |
|---|---|
| Medicare Enrollment ID | O20180530001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639690837 | NPI | - | NPPES |
| 1184947657 | Other | MA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Paul Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568521409 PECOS PAC ID: 5496802985 Enrollment ID: I20090421000323 |
| Provider Name | Helen Nikitin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194847954 PECOS PAC ID: 7315194016 Enrollment ID: I20120831000521 |
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