Provider Demographics
NPI:1356668818
Name:BAYCOVE HUMAN SERVICES
Entity Type:Organization
Organization Name:BAYCOVE HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR BAY COVE B.E.S.T.
Authorized Official - Prefix:MISS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PIEMME
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-414-8336
Mailing Address - Street 1:16 WALDEN SQUARE RD
Mailing Address - Street 2:APT. 412
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-3406
Mailing Address - Country:US
Mailing Address - Phone:617-233-2189
Mailing Address - Fax:
Practice Address - Street 1:16 WALDEN SQUARE RD
Practice Address - Street 2:APT. 412
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-3406
Practice Address - Country:US
Practice Address - Phone:617-233-2189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health