Provider Demographics
NPI:1366022360
Name:JULIANA S PIRES PLLC
Entity Type:Organization
Organization Name:JULIANA S PIRES PLLC
Other - Org Name:BIRCH GROVE MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIRES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:617-600-4506
Mailing Address - Street 1:10 CHESTNUT DR UNIT M
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5555
Mailing Address - Country:US
Mailing Address - Phone:617-600-4506
Mailing Address - Fax:617-801-8029
Practice Address - Street 1:234 LITTLETON RD STE 1B
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3530
Practice Address - Country:US
Practice Address - Phone:603-400-2552
Practice Address - Fax:617-801-8029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)