Provider Demographics
NPI:1528534229
Name:ESSENCE OF PEARLS COUNSELING
Entity type:Organization
Organization Name:ESSENCE OF PEARLS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR IN SOCIAL DSW
Authorized Official - Phone:781-480-1784
Mailing Address - Street 1:16 MILTON ST STE 6
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-2991
Mailing Address - Country:US
Mailing Address - Phone:866-955-1167
Mailing Address - Fax:888-245-9392
Practice Address - Street 1:16 MILTON ST STE 6
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2991
Practice Address - Country:US
Practice Address - Phone:866-955-1167
Practice Address - Fax:888-245-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)