Provider Demographics
NPI:1194568287
Name:MEETING STREET MASSACHUSETTS, INC.
Entity type:Organization
Organization Name:MEETING STREET MASSACHUSETTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLIENT BILLING
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:ISHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-533-9250
Mailing Address - Street 1:543 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-2782
Mailing Address - Country:US
Mailing Address - Phone:508-742-6417
Mailing Address - Fax:508-991-8500
Practice Address - Street 1:543 NORTH ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2782
Practice Address - Country:US
Practice Address - Phone:508-742-6417
Practice Address - Fax:508-991-8500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEETING STREET MASSACHUSETTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-17
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency