Provider Demographics
NPI:1578735981
Name:THE LISTENING PLACE
Entity Type:Organization
Organization Name:THE LISTENING PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FATHER/FRANCISCAN COMMUNITY
Authorized Official - Prefix:
Authorized Official - First Name:ALFONSE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:781-593-9059
Mailing Address - Street 1:36 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-1934
Mailing Address - Country:US
Mailing Address - Phone:781-593-9059
Mailing Address - Fax:
Practice Address - Street 1:36 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-1934
Practice Address - Country:US
Practice Address - Phone:781-593-9059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAQ00554OtherBLUE CROSS