Provider Demographics
NPI:1215185137
Name:SOUTH BAY MENTAL HEALTH,FALL RIVER,MA
Entity Type:Organization
Organization Name:SOUTH BAY MENTAL HEALTH,FALL RIVER,MA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARADHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:508-324-1060
Mailing Address - Street 1:2 BELVEDERE DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-4902
Mailing Address - Country:US
Mailing Address - Phone:401-253-3779
Mailing Address - Fax:401-253-3779
Practice Address - Street 1:2 BELVEDERE DRIVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-4902
Practice Address - Country:US
Practice Address - Phone:401-253-3779
Practice Address - Fax:401-253-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty