Breakwater Counseling, Llc

LBN: Breakwater Counseling, Llc
Breakwater Counseling, Llc is an health care organization with primary practice located at 2 Main St Fl 3 , Gloucester MA 01930-5726. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Breakwater Counseling, Llc can be contacted via phone (508) 284-2121, or through Simon, Kristina Michelle via phone (508) 284-2121.

Contact Information

Primary practice address
2 Main St Fl 3 Gloucester MA 01930-5726
Phone: (508) 284-2121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simon, Kristina Michelle LICSW
Phone: (508) 284-2121

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1902499155
LBN Legal business name Breakwater Counseling, Llc
DBA Doing business as
Authorized official Simon, Kristina Michelle LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2021
Last updated Feb 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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