Theresa M Smith
Counselor, Mental Health in Brockton, Massachusetts
1265862791- Practice location
- 820 Pearl St, Brockton, MA 02301-4411
- Phone
- 508-583-9800
- Fax
- 508-583-9802
- Last updated
- November 19, 2013
Theresa M Smith is a healthcare organization based in Brockton, MA. Theresa M Smith practices in Brockton, MA. The NPI Number for Theresa M Smith is 1265862791 and holds a License No. RN/NP115563 (MA). The current practice location address for Theresa M Smith is 820 Pearl St, Brockton, MA 02301-4411 and can be reached out via phone at 508-583-9800 and via fax at 508-583-9802.
Provider Profile Details
- NPI Number
- 1265862791
- Provider Name
- Theresa M Smith
- Provider Entity Type
- Organization
- Address
- 820 Pearl St, Brockton, MA 02301-4411
- Phone Number
- 508-583-9800
- Fax Number
- 508-583-9802
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Cheryl A Puopolo · Administrative Assistant · 508-583-9800
- Other Names
- South Of Boston Healing (Doing Business As)
- Provider Enumeration Date
- November 19, 2013
- Last Update Date
- November 19, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 820 Pearl St
Brockton, MA 02301-4411 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-4411
- Phone Number
- 508-583-9800
- Fax Number
- 508-583-9802
Provider Business Mailing Address Details
- Address
- 820 Pearl St
Brockton, MA 02301-4411 - City
- Brockton
- State
- MA
- Zip
- 02301-4411
- Phone Number
- 508-583-9800
- Fax Number
- 508-583-9802
License Information
- License Number
- RN/NP115563
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Theresa M Smith?
The NPI number of Theresa M Smith is 1265862791. It was assigned on November 19, 2013 and is currently active in the NPPES registry.
What is the specialty of Theresa M Smith?
Theresa M Smith is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number RN/NP115563.
Where does Theresa M Smith practice?
The practice location is 820 Pearl St, Brockton, MA 02301-4411. The office can be reached at 508-583-9800 (phone) or 508-583-9802 (fax).
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 1265862791 directly on the NPPES registry website.