Southcoast Education & Wellness Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8945 Issued in MA

Legal business name

SOUTHCOAST EDUCATION & WELLNESS COUNSELING, LLC

Practice address

67 County Rd
Unit C
Mattapoisett, MA 02739-1638

Phone

(508) 538-1003

NPI assigned

Mar 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa A Gray, M.ED, LMHC

Title

Counselor

Phone

(508) 538-1003

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1780077602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 COUNTY RD",
            "address_2": "UNIT C",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391638",
            "telephone_number": "508-538-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 COUNTY RD",
            "address_2": "UNIT C",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391638",
            "telephone_number": "508-538-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST EDUCATION & WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "508-538-1003",
        "authorized_official_credential": "M.ED, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey Gerald Swift, DC DABCN
• Edmond P. Talbot, L.A.D.C.-1
• Patricia A. Tocci, LICSW08

• All providers in Mattapoisett, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.