| Organization Name: | BARNSTABLE COUNSELING ASSOCIATES, LLC |
| NPI Number: | 1760573034 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN L MONTGOMERY (PARTNER/MANAGER) |
| Mailing Address: | 923 Route 6a Unit N Yarmouth Port |
| State: | MA US |
| Postal Code: | 026752159 |
| Phone Number: | 5083624250 |
| Fax Number: | 5083625150 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 105247 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |