Active NPIOrganization

Headwaters Consulting Group, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder in South Easton, Massachusetts

NPI Number1235992967
Practice location
73 Belmont St, South Easton, MA 02375-1103
Fax
—
Last updated
March 11, 2025

Headwaters Consulting Group, LLC is a healthcare organization based in South Easton, MA. Headwaters Consulting Group, LLC practices in South Easton, MA. The NPI Number for Headwaters Consulting Group, LLC is 1235992967. The current practice location address for Headwaters Consulting Group, LLC is 73 Belmont St, South Easton, MA 02375-1103 and can be reached out via phone at 617-691-0338.

Provider Profile Details

NPI Number
1235992967
Provider Name
Headwaters Consulting Group, LLC
Provider Entity Type
Organization
Address
73 Belmont St, South Easton, MA 02375-1103
Phone Number
617-691-0338
Organization Subpart
No
Authorized Official
Mr. Kyle John Craig · Co-Founder · 617-704-2391
Other Names
Rebuilding Recovery (Doing Business As)
Provider Enumeration Date
February 5, 2024
Last Update Date
March 11, 2025
Certification Date
March 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 Belmont St
South Easton, MA 02375-1103
Zip
02375-1103
Phone Number
617-691-0338
South Easton, MA 02375Get directions →

Provider Business Mailing Address Details

Address
30 Maple St
Braintree, MA 02184-4613
City
Braintree
State
MA
Zip
02184-4613
Phone Number
617-704-2391

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Case Management · 251B00000X
Taxonomy (3)
Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Headwaters Consulting Group, LLC?

The NPI number of Headwaters Consulting Group, LLC is 1235992967. It was assigned on February 5, 2024 and is currently active in the NPPES registry.

What is the specialty of Headwaters Consulting Group, LLC?

Headwaters Consulting Group, LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X).

Where does Headwaters Consulting Group, LLC practice?

The practice location is 73 Belmont St, South Easton, MA 02375-1103. The office can be reached at 617-691-0338 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235992967 directly on the NPPES registry website.

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