Blue Heron Therapy, LLC
Counselor, Mental Health in Medway, Massachusetts
1598435265- Practice location
- 165 Main St Unit 203, Medway, MA 02053-1584
- Phone
- 774-613-0436
- Fax
- —
- Last updated
- September 15, 2021
Blue Heron Therapy, LLC is a healthcare organization based in Medway, MA. Blue Heron Therapy, LLC practices in Medway, MA. The NPI Number for Blue Heron Therapy, LLC is 1598435265. The current practice location address for Blue Heron Therapy, LLC is 165 Main St Unit 203, Medway, MA 02053-1584 and can be reached out via phone at 774-613-0436.
Provider Profile Details
- NPI Number
- 1598435265
- Provider Name
- Blue Heron Therapy, LLC
- Provider Entity Type
- Organization
- Address
- 165 Main St Unit 203, Medway, MA 02053-1584
- Phone Number
- 774-613-0436
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Katelyn Emma, LICSW · Sole Member · 774-573-6185
- Provider Enumeration Date
- September 15, 2021
- Last Update Date
- September 15, 2021
- Certification Date
- September 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Main St Unit 203
Medway, MA 02053-1584 - City
- Medway
- State
- Massachusetts
- Zip
- 02053-1584
- Phone Number
- 774-613-0436
Provider Business Mailing Address Details
- Address
- 165 Main St Unit 203
Medway, MA 02053-1584 - City
- Medway
- State
- MA
- Zip
- 02053-1584
License Information
- 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 Blue Heron Therapy, LLC?
The NPI number of Blue Heron Therapy, LLC is 1598435265. It was assigned on September 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Blue Heron Therapy, LLC?
Blue Heron Therapy, LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Blue Heron Therapy, LLC practice?
The practice location is 165 Main St Unit 203, Medway, MA 02053-1584. The office can be reached at 774-613-0436 (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 1598435265 directly on the NPPES registry website.