HIDDEN GEMS COUNSELING LLC


Address: 6 Liberty Sq, Pmb 452, Boston, MA 02109
Phone: 5088599402

HIDDEN GEMS COUNSELING LLC (NPI# 1477167385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477167385
Entity Type Organization
Organization Name HIDDEN GEMS COUNSELING LLC
Practice Address 6 Liberty Sq, Pmb 452
Boston
MA 02109
Practice Telephone 5088599402
Practice Fax Number 5082133871
Mailing Telephone 5088599402
Mailing Fax Number 5082133871
Enumeration Date 2020-09-08
Last Update Date 2020-09-08
Authorized Official Name KAILEY FASUGBA (OWNER)
Authorized Official Telephone 5088599402
Authorized Official Credential LMHC, ATR-BC, LA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA MENTAL HEALTH COUNSELOR LICENSURE 9742 01

Office Location

Street Address 6 LIBERTY SQ, PMB 452
City BOSTON
State MA
Zip Code 02109

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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