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Organization
ALLY INTEGRATED HEALTHCARE
Active
Organization
ALLY INTEGRATED HEALTHCARE
Active
Other names
ALLY INTEGRATED HEALTHCARE, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN S. WILKINSON MSN, APRN (PRESIDENT/PMHNP-BC)
(617) 600-4235
Entity
Organization
Contact information
Practice address
305 NEWBURY ST STE 41, BOSTON, MA 02115-2833
(617) 377-7868
(617) 608-5899
Mailing address
305 NEWBURY ST STE 41, BOSTON, MA 02115-2833
(617) 600-4249
(617) 608-5899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
NULL
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
02/10/2018
Last updated
03/04/2024
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