Blue Heron Therapy, LLC
NPI #1598435265 in Medway, Massachusetts
Provider Information
- NPI Number
- 1598435265
- Entity Type
- Organization
- Organization Name
- Blue Heron Therapy, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 15, 2021
- Last Updated
- Sep 15, 2021
Practice Location
- Address
- 165 MAIN ST UNIT 203
- City
- Medway
- State
- Massachusetts
- ZIP Code
- 02053-1584
- Phone
- (774) 613-0436
Authorized Official
- Name
- KATELYN EMMA, LICSW
- Title
- SOLE MEMBER
- Phone
- (774) 573-6185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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