Provider Demographics
NPI:1285467134
Name:BRIANNE DARCY COUNSELING & PERFORMANCE PSYCHOLOGY LLC
Entity type:Organization
Organization Name:BRIANNE DARCY COUNSELING & PERFORMANCE PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARCY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:857-357-4300
Mailing Address - Street 1:160 ALEWIFE BROOK PKWY # 1038
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1102
Mailing Address - Country:US
Mailing Address - Phone:857-357-4300
Mailing Address - Fax:857-357-4440
Practice Address - Street 1:160 ALEWIFE BROOK PKWY # 1038
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1102
Practice Address - Country:US
Practice Address - Phone:857-357-4300
Practice Address - Fax:857-357-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty