Bridge to Healing Psychotherapy LLC
Organization Active NPI Clinical Social Worker · Winchester, MA
NPI 1003300385 · NPPES record last updated Jun 19, 2018
Key facts
- NPI
- 1003300385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 113031 (MA)
- Legal business name
- BRIDGE TO HEALING PSYCHOTHERAPY LLC
- Practice address
- 611 Main St Ste 302E
Winchester, MA 01890-2051 - Phone
- (781) 640-2078
- Fax
- (781) 723-8566
- NPI assigned
- Jun 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Rebecca Boyko, LICSW
- Title
- Owner
- Phone
- (781) 640-2078
Practitioners 1
-
Rebecca Boyko, LICSW
National Provider Directory
Locations
611 Main St
Ste 302E
Winchester, MA 01890
Phone (781) 640-2078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 113031 | MA | Yes |
Addresses
Primary practice location
611 Main St Ste 302E
Winchester, MA 01890-2051
Mailing address
611 Main St Ste 302E
Winchester, MA 01890-2051
Phone (781) 640-2078
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437138138 | Other | MA | NPI TYPE 1 |
Other names
- Bridge to Healing Psychotherapy
Other providers in Winchester, MA
- Corey Bova
- Jessica Dawn Bradford
- Eileen Bradley
- William L Breckwoldt III
- Bridge Consultants PLLC
- Patrick F Brophy
- Jeffrey Stuart Brown
- Stacey Karcher Bukuras
- Jessica Marie Burns
- Vincent J Buscemi
All providers in Winchester, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.