Provider Demographics
NPI:1427792977
Name:EMBODYING COMPASSION BOSTON PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:EMBODYING COMPASSION BOSTON PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRELSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-735-7212
Mailing Address - Street 1:33A HARVARD ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7976
Mailing Address - Country:US
Mailing Address - Phone:617-882-2810
Mailing Address - Fax:617-882-2818
Practice Address - Street 1:33A HARVARD ST STE 301
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7976
Practice Address - Country:US
Practice Address - Phone:617-882-2810
Practice Address - Fax:617-882-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)