NPI 1740061340 · live from the CMS NPI Registry
B And G Common Actions For Change
Counselor, Mental Health in Manchester, NH. National Provider Identifier 1740061340, active.
NPI record
| NPI | 1740061340 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 86 A St Apt 1, Manchester, NH 03102 |
| Practice phone | 603-262-0345 |
| Mailing address | 89 Summerside Ave, Manchester, NH 03102 |
| Enumerated | October 10, 2023 |
| Last updated | October 10, 2023 |
| Authorized official | Bienfait Polepole, Business Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.