# MADONNA HALL GOOD SHEPHERD SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maria Droste Counseling Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871920140
- **Authorized official:** MR. MICHAEL SHANAHAN LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (671) 471-5686

## Contact information

- **Practice address:** 1354 HANCOCK ST, SUITE 209, QUINCY, MA 02169-5109
- **Practice address phone:** (617) 471-5686
- **Practice address fax:** (617) 471-6622
- **Mailing address:** 1354 HANCOCK ST, SUITE 209, QUINCY, MA 02169-5109
- **Mailing address phone:** (617) 471-5686
- **Mailing address fax:** (617) 471-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1379 | MA | Yes |
| 225700000X | Massage Therapist | 144 | MA | — |

## Other

- **Enumeration date:** 10/02/2013
- **Last updated:** 10/02/2013