Provider Demographics
NPI:1396957171
Name:SEACOAST COUNSELING CENTERS, P.C.
Entity type:Organization
Organization Name:SEACOAST COUNSELING CENTERS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO,PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN
Authorized Official - Phone:978-388-0022
Mailing Address - Street 1:5 MARKET SQ
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2497
Mailing Address - Country:US
Mailing Address - Phone:978-388-0022
Mailing Address - Fax:978-834-0990
Practice Address - Street 1:5 MARKET SQ
Practice Address - Street 2:SUITE 101
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2497
Practice Address - Country:US
Practice Address - Phone:978-388-0022
Practice Address - Fax:978-834-0990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1010720OtherBEACON HEALTH STRATEGIES
MA262357OtherMAGELLAN BEHAVIORAL HEALT
MAW010634OtherBLUECROSSBLUESHIELD
MA117008OtherBEHAVIORALHEALTH NETWORK
MAW010634OtherBLUECROSSBLUESHIELD
MA262357OtherMAGELLAN BEHAVIORAL HEALT
MA262357OtherMAGELLAN BEHAVIORAL HEALT
MA=========OtherAETNA