Provider Demographics
NPI:1851774053
Name:HELEN M. FARRELL, M.D., LLC
Entity Type:Organization
Organization Name:HELEN M. FARRELL, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-784-3307
Mailing Address - Street 1:173 COMMONWEALTH AVE
Mailing Address - Street 2:#5R
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2217
Mailing Address - Country:US
Mailing Address - Phone:617-784-3307
Mailing Address - Fax:617-936-3037
Practice Address - Street 1:29 COMMONWEALTH AVE
Practice Address - Street 2:SUITE 906
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-2349
Practice Address - Country:US
Practice Address - Phone:617-784-3307
Practice Address - Fax:617-936-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA246618261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health