| NPI | 1659400802 |
|---|---|
| Doing Business As | STONEYBROOK COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLENE LALLY Cred Mgr 978-459-2306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 4196) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 4196) |
| 101YP2500X Counselor Professional (Licence: MA 4196) | |
| 101YS0200X Counselor School (Licence: MA 4196) | |
| 103T00000X Psychologist (Licence: MA 4196) | |
| 103TC0700X Psychologist Clinical (Licence: MA 4196) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MA 4196) | |
| 103TF0000X Psychologist Family (Licence: MA 4196) | |
| 1041C0700X Social Worker Clinical (Licence: MA 4196) | |
| 1041S0200X Social Worker School (Licence: MA 4196) | |
| 106H00000X Marriage & Family Therapist (Licence: MA 4196) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA 4196) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 4196) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA 4196) | |
| 251S00000X Community/Behavioral Health (Licence: MA 4196) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-01-15 |