Provider Demographics
NPI:1609590017
Name:JOANNE DAKIN LLC
Entity Type:Organization
Organization Name:JOANNE DAKIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LADC1
Authorized Official - Phone:508-468-0111
Mailing Address - Street 1:128 UNION ST STE 100
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6391
Mailing Address - Country:US
Mailing Address - Phone:508-468-0111
Mailing Address - Fax:
Practice Address - Street 1:128 UNION ST STE 100
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6391
Practice Address - Country:US
Practice Address - Phone:508-468-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)