Odonata Psychotherapy & Retreat Center LLC
Social Worker, Clinical in Buzzards Bay, Massachusetts
1902285414- Practice location
- 121 Main St, Buzzards Bay, MA 02532
- Phone
- 774-247-4939
- Fax
- 774-302-4419
- Last updated
- August 15, 2018
Odonata Psychotherapy & Retreat Center LLC is a healthcare organization based in Buzzards Bay, MA. Odonata Psychotherapy & Retreat Center LLC practices in Buzzards Bay, MA. The NPI Number for Odonata Psychotherapy & Retreat Center LLC is 1902285414 and holds a License No. 118383 (MA). The current practice location address for Odonata Psychotherapy & Retreat Center LLC is 121 Main St, Buzzards Bay, MA 02532 and can be reached out via phone at 774-247-4939 and via fax at 774-302-4419.
Provider Profile Details
- NPI Number
- 1902285414
- Provider Name
- Odonata Psychotherapy & Retreat Center LLC
- Provider Entity Type
- Organization
- Address
- 121 Main St, Buzzards Bay, MA 02532
- Phone Number
- 774-247-4939
- Fax Number
- 774-302-4419
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Nancy C Wiley, LICSW · Owner · 774-247-4939
- Provider Enumeration Date
- May 29, 2015
- Last Update Date
- August 15, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 Main St
Buzzards Bay, MA 02532 - City
- Buzzards Bay
- State
- Massachusetts
- Zip
- 02532
- Phone Number
- 774-247-4939
- Fax Number
- 774-302-4419
Provider Business Mailing Address Details
- Address
- 121 Main St
Buzzards Bay, MA 02532-3245 - City
- Buzzards Bay
- State
- MA
- Zip
- 02532-3245
- Phone Number
- 774-247-4939
- Fax Number
- 774-302-4419
License Information
- License Number
- 118383
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Buzzards Bay, MA
View all Social Worker, Clinical providers in Buzzards Bay →Frequently Asked Questions
What is the NPI number of Odonata Psychotherapy & Retreat Center LLC?
The NPI number of Odonata Psychotherapy & Retreat Center LLC is 1902285414. It was assigned on May 29, 2015 and is currently active in the NPPES registry.
What is the specialty of Odonata Psychotherapy & Retreat Center LLC?
Odonata Psychotherapy & Retreat Center LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 118383.
Where does Odonata Psychotherapy & Retreat Center LLC practice?
The practice location is 121 Main St, Buzzards Bay, MA 02532. The office can be reached at 774-247-4939 (phone) or 774-302-4419 (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 1902285414 directly on the NPPES registry website.