Organization · Type 2 NPI
Between Tides Behavioral Health LLC
Mental Health Counselor · Boston, MA
NPI number
1104739168
Active
Practice location
56 Broad St
Boston, MA 02109-4301
Mailing address
56 Broad St Ste 67310
Boston, MA 02109-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104739168
Between Tides Behavioral Health LLC's National Provider Identifier is 1104739168, issued on Sep 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Sep 23, 2026.