Provider Demographics
NPI:1720632409
Name:POWER BEHAVIORAL HEALTH, PLLC
Entity Type:Organization
Organization Name:POWER BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP, PMHNP-BC
Authorized Official - Phone:781-924-1325
Mailing Address - Street 1:51 MILL ST STE 8
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1651
Mailing Address - Country:US
Mailing Address - Phone:781-924-1325
Mailing Address - Fax:781-924-5461
Practice Address - Street 1:51 MILL ST STE 8
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1651
Practice Address - Country:US
Practice Address - Phone:781-924-1325
Practice Address - Fax:781-924-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)