Provider Demographics
NPI:1750844197
Name:SHAQUAN READ COUNSELING, LLC
Entity Type:Organization
Organization Name:SHAQUAN READ COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAQUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:914-850-0640
Mailing Address - Street 1:259 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3819
Mailing Address - Country:US
Mailing Address - Phone:914-850-0640
Mailing Address - Fax:
Practice Address - Street 1:57 E MAIN ST STE 215
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1457
Practice Address - Country:US
Practice Address - Phone:508-333-9161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty