Active NPIOrganization

Broad Meadow Cooperative LLC

Counselor, Mental Health in Andover, Massachusetts

NPI Number1760178453
Practice location
7 Cuba St, Andover, MA 01810-3407
Fax
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Last updated
April 14, 2023

Broad Meadow Cooperative LLC is a healthcare organization based in Andover, MA. Broad Meadow Cooperative LLC practices in Andover, MA. The NPI Number for Broad Meadow Cooperative LLC is 1760178453. The current practice location address for Broad Meadow Cooperative LLC is 7 Cuba St, Andover, MA 01810-3407 and can be reached out via phone at 978-494-4460.

Provider Profile Details

NPI Number
1760178453
Provider Name
Broad Meadow Cooperative LLC
Provider Entity Type
Organization
Address
7 Cuba St, Andover, MA 01810-3407
Phone Number
978-494-4460
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Bradley Thomas Eardley, LMFT · Owner · 978-494-4460
Provider Enumeration Date
April 14, 2023
Last Update Date
April 14, 2023
Certification Date
April 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Cuba St
Andover, MA 01810-3407
Zip
01810-3407
Phone Number
978-494-4460
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
7 Cuba St
Andover, MA 01810-3407
City
Andover
State
MA
Zip
01810-3407
Phone Number
978-494-4460

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 Broad Meadow Cooperative LLC?

The NPI number of Broad Meadow Cooperative LLC is 1760178453. It was assigned on April 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Broad Meadow Cooperative LLC?

Broad Meadow Cooperative LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Broad Meadow Cooperative LLC practice?

The practice location is 7 Cuba St, Andover, MA 01810-3407. The office can be reached at 978-494-4460 (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 1760178453 directly on the NPPES registry website.

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