Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1669100509 |
| LBN Legal business name | BIGELOW COUNSELING & THERAPY SERVICES, PLC |
| Authorized official | ANGELA BIGELOW - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/09/2022 |
| Last updated | 10/13/2022 - About 4 years ago |
| Identifiers | n/a |
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