Provider Demographics
NPI:1285787788
Name:OBRIEN, PAULA ANN (CAGS)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:ANN
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:CAGS
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:ANN
Other - Last Name:LEFAIVRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 SYKES RD
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-5024
Mailing Address - Country:US
Mailing Address - Phone:508-330-0777
Mailing Address - Fax:
Practice Address - Street 1:SOUTH BAY MENTAL HEALTH CENTER
Practice Address - Street 2:1563 NORTH MAIN SUITE 208
Practice Address - City:FELL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02726
Practice Address - Country:US
Practice Address - Phone:508-324-1060
Practice Address - Fax:508-672-3519
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health