Outreach Behavioral Health and Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER LLC

Practice address

1354 Hancock St Ste 202
Quincy, MA 02169-5109

Phone

(857) 939-4445

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Gholson, LCSW

Title

Manager

Phone

(857) 939-4445

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Sheryl Bougouneau, M.ED, LADC 1

  • Addiction (Substance Use Disorder) Counselor
  • Attleboro, MA
  • NPI 1942558697
  NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1841019577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 HANCOCK ST STE 202",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 HANCOCK ST STE 202",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695109",
            "telephone_number": "857-939-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GHOLSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "857-939-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart G. Ostroff, RPH
• Lindy Oubre, IDC
• Lhassane Oumalek, PMHNP-BC
• Heather T Outlaw
• Outreach Behavioral Health and Wellness Center Inc.
• Danielle Louise Owen, LCSW, LADCI
• Suzanne M. Owens, LICSW
• Shola Oyedele Oyewole
• Yuly Ozuna-Vargas
• Edward Pacheco III, PSY.D.

• Community/Behavioral Health Agency in Quincy, MA
• Providers in Quincy, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.