| Victorious Counseling Services, Llc | |
|
99 Derby St Ste 200 Hingham MA 02043-4216 | |
| (617) 379-1464 | |
| Not Available |
| Full Name | Victorious Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 99 Derby St Ste 200, Hingham, Massachusetts |
| Authorized Official Name and Position | Nikolas R Protasenia (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6173791464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victorious Counseling Services, Llc 75 Donald St Apt 12 Weymouth MA 02188-3920 Ph: (617) 379-1464 | Victorious Counseling Services, Llc 99 Derby St Ste 200 Hingham MA 02043-4216 Ph: (617) 379-1464 |
| NPI Number | 1003557547 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003557547 | NPI | - | NPPES |
| 1518996354 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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