Provider Demographics
NPI:1801501556
Name:NORTHBOUND COUNSELING
Entity type:Organization
Organization Name:NORTHBOUND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSIAH
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:978-880-2818
Mailing Address - Street 1:65 DODGE STREET UNIT C
Mailing Address - Street 2:#1001
Mailing Address - City:BVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-219-6798
Mailing Address - Fax:978-626-3786
Practice Address - Street 1:65 DODGE STREET UNIT C
Practice Address - Street 2:#1001
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-219-6798
Practice Address - Fax:978-626-3786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty