COMPREHENSIVE HEATLH SERVICES, LLC

Provider Demographics

• NPI: 1659400802
• Name: COMPREHENSIVE HEATLH SERVICES, LLC
• Entity Type: Organization
• Organization Name: COMPREHENSIVE HEATLH SERVICES, LLC
• Other - Org Name: STONEYBROOK COUNSELING CENTER
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CRED MGR
• Authorized Official - Prefix: MS
• Authorized Official - First Name: CHARLENE
• Authorized Official - Last Name: LALLY
• Authorized Official - Phone: 978-459-2306
• Mailing Address - Street 1: 2 COURTHOUSE LN
• Mailing Address - Street 2: SUITE 3
• Mailing Address - City: CHELMSFORD
• Mailing Address - State: MA
• Mailing Address - Zip Code: 01824-1715
• Mailing Address - Country: US
• Mailing Address - Phone: 978-275-9444
• Mailing Address - Fax: 978-275-9918
• Practice Address - Street 1: 2 COURTHOUSE LN
• Practice Address - Street 2: SUITE 3
• Practice Address - City: CHELMSFORD
• Practice Address - State: MA
• Practice Address - Zip Code: 01824-1715
• Practice Address - Country: US
• Practice Address - Phone: 978-275-9444
• Practice Address - Fax: 978-275-9918
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: COMPREHENSIVE HEALTH SERVICES LLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2007-03-05
• Last Update Date: 2016-01-15

Provider Licenses

State	License ID	Taxonomies
MA	4196	101YA0400X, 101YM0800X, 101YP2500X, 101YS0200X, 103T00000X, 103TC0700X, 103TC2200X, 103TF0000X, 1041C0700X, 1041S0200X, 106H00000X, 163WP0808X, 2084P0800X, 2084P0804X, 251S00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	251S00000X	Agencies	Community/Behavioral Health
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	101YS0200X	Behavioral Health & Social Service Providers	Counselor	School	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	1041S0200X	Behavioral Health & Social Service Providers	Social Worker	School	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty
No	163WP0808X	Nursing Service Providers	Registered Nurse	Psychiatric/Mental Health	Group - Multi-Specialty
No	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Psychiatry	Group - Multi-Specialty
No	2084P0804X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Child & Adolescent Psychiatry	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MA	6577	Other	VALUE OPTION
MA	8304067	Other	AETNA
MA	M118559	Other	BCBS
MA	1307614	Other	GROUP
MA	Y10322	Other	GROUP P TAN
MA	983445	Other	NETWORK
MA	=========	Other	TEAMSTERS
MA	=========	Other	PRIVATE HEALTHCARE SYSTEM
MA	1000930	Other	BEACON
MA	215483000	Other	MAGELLAN
MA	34702	Other	BOSTON MEDICAL
MA	701784	Other	TUFTS
MA	=========	Other	FALLON
MA	M18560	Other	BCBS
MA	M18561	Other	BCBS
MA	=========	Other	UBH