Provider Demographics
NPI:1659044352
Name:THE COUPLES PROJECT
Entity Type:Organization
Organization Name:THE COUPLES PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, LMFT
Authorized Official - Phone:617-780-6412
Mailing Address - Street 1:67 RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1671
Mailing Address - Country:US
Mailing Address - Phone:781-696-4740
Mailing Address - Fax:
Practice Address - Street 1:67 RIVERVIEW RD
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-1671
Practice Address - Country:US
Practice Address - Phone:781-696-4740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty