# MONAHAN MENTAL HEALTH GROUP, PC

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

## Provider details

- **NPI number:** 1598168189
- **Authorized official:** MRS. THERESA M SMITH CNP (OWNER)
- **Authorized official phone:** (508) 583-9800

## Contact information

- **Practice address:** 820 PEARL ST, BROCKTON, MA 02301-4411
- **Practice address phone:** (508) 583-9800
- **Mailing address:** 820 PEARL ST, BROCKTON, MA 02301-4411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2014
- **Last updated:** 03/09/2015