DOVE EMOTIONAL WELLNESS CENTER NPI 1790404994

NPI Information

NPI: 1790404994
Provider Name: DOVE EMOTIONAL WELLNESS CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
40 EASTERN AVE STE 202
MALDEN, MA
ZIP 02148
Phone: (781) 330-2926
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DOVE EMOTIONAL WELLNESS CENTER is a mental health counselor in Malden, MA. DOVE EMOTIONAL WELLNESS CENTER NPI is 1790404994. The provider is registered as an organization entity type.

The provider's business location address is:

40 EASTERN AVE STE 202
MALDEN, MA
ZIP 02148-030
Phone: (781) 330-2926
Fax: (671) 977-8665

The provider's authorized official is Emile Lyns Hercule .
The authorized official title is Clinician and has the following contact phone number (781) 330-2926.

The enumeration date for this NPI number is 8/23/2022 and was last updated on 9/26/2022.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	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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