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Breakwater Counseling, Llc
Adolescent and Children Mental Health Clinic/Center in Gloucester, Massachusetts
NPI 1902499155

Breakwater Counseling, Llc is an Adolescent and Children Mental Health Clinic/Center based in Gloucester, MA and is specialized in Adolescent and Children Mental Health. Breakwater Counseling, Llc practices in Gloucester, MA. The NPI Number for Breakwater Counseling, Llc is 1902499155 and holds a License No. (Massachusetts).

The current practice location address for Breakwater Counseling, Llc is 2 Main St Fl 3, Gloucester, MA and can be reached out via phone at 508-284-2121.

Location: 2 Main St Fl 3, Gloucester, MA, 01930-4281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902499155
Provider Name
Breakwater Counseling, Llc
Credential
Provider Entity Type
Organization
Address
2 Main St Fl 3, Gloucester, MA, 01930-4281
Phone Number
508-284-2121
Fax Number
Provider Enumeration Date
02/18/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2 Main St Fl 3
City
Gloucester
State
Massachusetts
Zip
01930-5726
Phone Number
508-284-2121
Fax Number
person
Provider Business Mailing Address Details
Address
2 Main St Fl 3
City
Gloucester
State
Massachusetts
Zip
01930-5726
Phone Number
508-284-2121
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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