Provider Demographics
NPI:1356977029
Name:BEIN, ECHO (MS, LMHC)
Entity type:Individual
Prefix:
First Name:ECHO
Middle Name:
Last Name:BEIN
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BRADFORD ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7840
Mailing Address - Country:US
Mailing Address - Phone:508-320-7816
Mailing Address - Fax:
Practice Address - Street 1:1245 HANCOCK ST STE 12
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4365
Practice Address - Country:US
Practice Address - Phone:617-302-7579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health