Organization
BLACKBIRD COUNSELING
Active
Parent organization
BLACKBIRD COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACKBIRD COUNSELING LLC
Authorized official
JUSTINE CARLUCCI LMFT (PROGRAM DIRECTOR)
(339) 235-5116
Entity
Organization
Contact information
Practice address
28 RIVERSIDE DR STE 270, PEMBROKE, MA 02359-4947
(774) 773-6300
Mailing address
28 RIVERSIDE DR STE 270, PEMBROKE, MA 02359-4947
(774) 773-6300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
01/25/2022
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