Provider Demographics
NPI:1285351353
Name:POMARES PSYCHOLOGY LLC
Entity type:Organization
Organization Name:POMARES PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POMARES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:857-234-2084
Mailing Address - Street 1:26 FORRESTER ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4040
Mailing Address - Country:US
Mailing Address - Phone:857-234-2084
Mailing Address - Fax:
Practice Address - Street 1:26 FORRESTER ST UNIT 1
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4040
Practice Address - Country:US
Practice Address - Phone:857-234-2084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health