Organization
BAY COAST BEHAVIORAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI MAURIE PATCH (EXECUTIVE ASSISTANT)
(774) 294-5722
Entity
Organization
Contact information
Practice address
170 PLEASANT ST, ROOM 100, FALL RIVER, MA 02721-3015
(774) 294-5722
(774) 294-5724
Mailing address
170 PLEASANT ST, ROOM 100, FALL RIVER, MA 02721-3015
(774) 294-5722
(774) 294-5724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/14/2013
Last updated
10/24/2023
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