JEANOM DBA LIKE A PHOENIX NPI 1053944850

NPI Information

NPI: 1053944850
Provider Name: JEANOM DBA LIKE A PHOENIX
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
21 CUMMINGS PARK STE 200
WOBURN, MA
ZIP 01801
Phone: (781) 305-4086
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JEANOM DBA LIKE A PHOENIX is a mental health counselor in Woburn, MA. JEANOM DBA LIKE A PHOENIX NPI is 1053944850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 CUMMINGS PARK STE 200
WOBURN, MA
ZIP 01801-198
Phone: (781) 305-4086
Fax: (781) 305-4087

The provider's authorized official is Mona Gebrael El Hachem .
The authorized official title is Owner and has the following contact phone number (781) 569-5111.

The enumeration date for this NPI number is 2/20/2020 and was last updated on 10/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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