# MEDICAL COMMUNITY PSYCHOTHERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346720646
- **Authorized official:** DR. GEORGE OLUSOLA AKINKUOYE PMHNP-BC, DNP (PRESIDENT)
- **Authorized official phone:** (508) 733-5951

## Contact information

- **Practice address:** 264 UNION AVE APT 2, FRAMINGHAM, MA 01702-6348
- **Practice address phone:** (508) 733-5951
- **Practice address fax:** (508) 321-1960
- **Mailing address:** 264 UNION AVE APT 2, FRAMINGHAM, MA 01702-6348
- **Mailing address phone:** (774) 244-4128
- **Mailing address fax:** (774) 244-4129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 233605 | MA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2018
- **Last updated:** 01/08/2021