Provider Demographics
NPI:1275398612
Name:OPEN MIND COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:OPEN MIND COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:LEHANE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:504-296-2579
Mailing Address - Street 1:PO BOX 1828
Mailing Address - Street 2:
Mailing Address - City:ONSET
Mailing Address - State:MA
Mailing Address - Zip Code:02558-1828
Mailing Address - Country:US
Mailing Address - Phone:504-296-2579
Mailing Address - Fax:
Practice Address - Street 1:36 N BEDFORD ST
Practice Address - Street 2:
Practice Address - City:E BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1186
Practice Address - Country:US
Practice Address - Phone:617-299-0403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)