Organization
THE PSYCH GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GREEN M.D. (OWNER)
(857) 598-2808
Entity
Organization
Contact information
Practice address
25 FLANDERS ROAD, BELMONT, MA 02478
(857) 598-2808
(857) 598-2864
Mailing address
25 FLANDERS ROAD, BELMONT, MA 02478
(857) 598-2808
(857) 598-2864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
12/04/2018
Last updated
03/03/2020
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