Active NPIIndividual providerSole proprietor

Beanette Damiron

Counselor, Addiction (Substance Use Disorder) in Roxbury, Massachusetts

NPI Number1407350655
Practice location
302 Eustis St, Roxbury, MA 02119-3800
Fax
—
Last updated
March 22, 2018

Beanette Damiron is a Counselor, Addiction (Substance Use Disorder) based in Roxbury, MA. Beanette Damiron practices in Roxbury, MA. The NPI Number for Beanette Damiron is 1407350655. The current practice location address for Beanette Damiron is 302 Eustis St, Roxbury, MA 02119-3800 and can be reached out via phone at 617-445-1123.

Provider Profile Details

NPI Number
1407350655
Provider Name
Beanette Damiron
Provider Entity Type
Individual
Gender
Male
Address
302 Eustis St, Roxbury, MA 02119-3800
Phone Number
617-445-1123
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2018
Last Update Date
March 22, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
302 Eustis St
Roxbury, MA 02119-3800
Zip
02119-3800
Phone Number
617-445-1123
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
365 East St
Tewksbury, MA 01876-1950
City
Tewksbury
State
MA
Zip
01876-1950
Phone Number
617-445-1123

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Beanette Damiron?

The NPI number of Beanette Damiron is 1407350655. It was assigned on March 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Beanette Damiron?

Beanette Damiron is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Beanette Damiron practice?

The practice location is 302 Eustis St, Roxbury, MA 02119-3800. The office can be reached at 617-445-1123 (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 1407350655 directly on the NPPES registry website.

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