Provider Demographics
NPI:1629103783
Name:PROJECT COPE, INC.
Entity Type:Organization
Organization Name:PROJECT COPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTING
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELENEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, BUSINESS ADMIN
Authorized Official - Phone:781-581-9270
Mailing Address - Street 1:117 N COMMON ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-4223
Mailing Address - Country:US
Mailing Address - Phone:781-593-5333
Mailing Address - Fax:781-581-2177
Practice Address - Street 1:181 UNION ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1310
Practice Address - Country:US
Practice Address - Phone:781-581-9270
Practice Address - Fax:781-581-8413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0546101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA975709OtherNETWORK HEALTH
MA1000920OtherNEIGHBORHOOD HEALTH PLAN
MA1307207Medicaid
MA1000920OtherNEIGHBORHOOD HEALTH PLAN