| Tyler Buckhout, Licsw, Llc | |
|
14 Haynes St Unit 101 East Boston MA 02128-4952 | |
| (617) 863-0096 | |
| Not Available |
| Full Name | Tyler Buckhout, Licsw, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 14 Haynes St Unit 101, East Boston, Massachusetts |
| Authorized Official Name and Position | Tyler S Buckhout (OWNER) |
| Authorized Official Contact | 9783874404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Buckhout, Licsw, Llc 14 Haynes St Unit 101 East Boston MA 02128-4952 Ph: (978) 387-4404 | Tyler Buckhout, Licsw, Llc 14 Haynes St Unit 101 East Boston MA 02128-4952 Ph: (617) 863-0096 |
| NPI Number | 1760253058 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760253058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Sabina Tavares Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 Putnam St, 3, East Boston, MA 02128 Phone: 617-359-2146 | |
Boston Somatic Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Maverick St Ste 204, East Boston, MA 02128 Phone: 617-997-0756 | |
Diaz Psychiatry, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Webster St Apt 1, East Boston, MA 02128 Phone: 781-519-4829 | |
Neighborhealth Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
Cambridge Health Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Leyden St Apt 2, East Boston, MA 02128 Phone: 617-974-1185 | |
North Suffolk Mental Health Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-912-7000 | |
East Boston Behavioral Health And Medicine Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 464 Bremen St Ste 4, East Boston, MA 02128 Phone: 617-567-9200 Fax: 617-567-9300 |