Mr. Matthew T Miracle, BA
Counselor, Mental Health in North Grafton, Massachusetts
1689921397- Practice location
- 80 Worcester St, North Grafton, MA 01536-1041
- Phone
- 774-293-1116
- Fax
- 774-389-0308
- Last updated
- May 23, 2022
Matthew Taylor Miracle is a Counselor, Mental Health based in North Grafton, MA. Matthew Taylor Miracle practices in North Grafton, MA and has the professional credentials of BA. The NPI Number for Matthew Taylor Miracle is 1689921397 and holds a License No. 12165 (MA). The current practice location address for Matthew Taylor Miracle is 80 Worcester St, North Grafton, MA 01536-1041 and can be reached out via phone at 774-293-1116 and via fax at 774-389-0308.
Provider Profile Details
- NPI Number
- 1689921397
- Provider Name
- Matthew Taylor Miracle
- Credential
- BA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 80 Worcester St, North Grafton, MA 01536-1041
- Phone Number
- 774-293-1116
- Fax Number
- 774-389-0308
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 13, 2012
- Last Update Date
- May 23, 2022
- Certification Date
- May 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Worcester St
North Grafton, MA 01536-1041 - City
- North Grafton
- State
- Massachusetts
- Zip
- 01536-1041
- Phone Number
- 774-293-1116
- Fax Number
- 774-389-0308
Provider Business Mailing Address Details
- Address
- 76 Church St Ste 301
Whitinsville, MA 01588-1464 - City
- Whitinsville
- State
- MA
- Zip
- 01588-1464
- Phone Number
- 508-234-4181
- Fax Number
- 508-234-3944
License Information
- License Number
- 12165
- 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. | |||
Other Counselor, Mental Health providers near North Grafton, MA
View all Counselor, Mental Health providers in North Grafton →- Christina M QualeyCounselor, Mental Health · NPI 1962113795
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- Haley HansonCounselor, Mental Health · NPI 1437664695
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Frequently Asked Questions
What is the NPI number of Mr. Matthew T Miracle, BA?
The NPI number of Mr. Matthew T Miracle, BA is 1689921397. It was assigned on August 13, 2012 and is currently active in the NPPES registry.
What is the specialty of Mr. Matthew T Miracle, BA?
Mr. Matthew T Miracle, BA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 12165.
Where does Mr. Matthew T Miracle, BA practice?
The practice location is 80 Worcester St, North Grafton, MA 01536-1041. The office can be reached at 774-293-1116 (phone) or 774-389-0308 (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 1689921397 directly on the NPPES registry website.