Active NPIIndividual providerSole proprietor

Priscilla Gouldbourne

Counselor, Mental Health in Quincy, Massachusetts

NPI Number1336767813
Practice location
460 Quincy Ave, Quincy, MA 02169-8130
Fax
—
Last updated
July 10, 2020

Priscilla Gouldbourne is a Counselor, Mental Health based in Quincy, MA. Priscilla Gouldbourne practices in Quincy, MA. The NPI Number for Priscilla Gouldbourne is 1336767813. The current practice location address for Priscilla Gouldbourne is 460 Quincy Ave, Quincy, MA 02169-8130 and can be reached out via phone at 508-641-6270.

Provider Profile Details

NPI Number
1336767813
Provider Name
Priscilla Gouldbourne
Provider Entity Type
Individual
Gender
Female
Address
460 Quincy Ave, Quincy, MA 02169-8130
Phone Number
508-641-6270
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2020
Last Update Date
July 10, 2020
Certification Date
July 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Quincy Ave
Quincy, MA 02169-8130
City
Quincy
Zip
02169-8130
Phone Number
508-641-6270
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
17 Clearview Dr.
Framingham, MA 01701
City
Framingham
State
MA
Zip
01701
Phone Number
508-641-6270

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Priscilla Gouldbourne?

The NPI number of Priscilla Gouldbourne is 1336767813. It was assigned on July 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Priscilla Gouldbourne?

Priscilla Gouldbourne is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Priscilla Gouldbourne practice?

The practice location is 460 Quincy Ave, Quincy, MA 02169-8130. The office can be reached at 508-641-6270 (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 1336767813 directly on the NPPES registry website.

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