Provider Demographics
NPI:1437814001
Name:D' PINA COUNSELING & WELLNESS
Entity Type:Organization
Organization Name:D' PINA COUNSELING & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YERKY
Authorized Official - Middle Name:URKANIA
Authorized Official - Last Name:PINA
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:603-767-8079
Mailing Address - Street 1:875 STATE RD STE 11
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-2853
Mailing Address - Country:US
Mailing Address - Phone:508-916-2081
Mailing Address - Fax:508-742-9959
Practice Address - Street 1:102 EARLE ST APT 1
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-3151
Practice Address - Country:US
Practice Address - Phone:603-767-8079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health