Mackoul and Associates Inc

Organization Active NPI Mental Health Counselor · Harwich, MA

NPI 1093587404 · NPPES record last updated Oct 30, 2023

Key facts

NPI
1093587404
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
MACKOUL AND ASSOCIATES INC
Practice address
27 Driftwood LN
Harwich, MA 02645-2914
Phone
(508) 375-0155
NPI assigned
Oct 30, 2023
Organization subpart
No

Authorized official

Name
Garry Mackoul
Title
President
Phone
(508) 375-0155

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240815001793 MA Part B Supplier - Clinic/Group Practice 5890233316 Receives reassigned benefits from 1 practitioner
Practice locations: North Easton, MA

National Provider Directory

Locations

50 Oliver St
Ste 210
North Easton, MA 02356
Phone (339) 205-0114

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

27 Driftwood LN
Harwich, MA 02645-2914

Mailing address

27 Driftwood LN
Harwich, MA 02645-2914
Phone (508) 375-0155

Other providers in Harwich, MA

All providers in Harwich, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.