Organization
THE PILLER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BLACK PILLER MA, LMHC (CLINICIAN)
(617) 259-0125
Entity
Organization
Contact information
Practice address
29 FRANKLIN ST UNIT 3, WRENTHAM, MA 02093-1210
(617) 644-0603
(617) 644-0163
Mailing address
105 MEETINGHOUSE RD, NORFOLK, MA 02056-1795
(617) 259-0125
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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