# WALTHAM BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1427453000
- **Authorized official:** MS. ELEFTHERIA TSAVOUSSIS PMSCNSBC (OWNER)
- **Authorized official phone:** (781) 966-0070

## Contact information

- **Practice address:** 210 BEAR HILL RD, SUITE 202, WALTHAM, MA 02451-1025
- **Practice address phone:** (781) 966-0070
- **Practice address fax:** (781) 915-0755
- **Mailing address:** 210 BEAR HILL ROAD, SUITE 202, WALTHAM, MA 02451-1025
- **Mailing address phone:** (781) 966-0070
- **Mailing address fax:** (781) 915-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | 7194 | MA | — |
| 1041C0700X | Clinical Social Worker | 113314 | MA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 205807 | MA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 280722 | MA | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 175264 | MA | — |

## Other

- **Enumeration date:** 10/25/2014
- **Last updated:** 01/06/2020