Provider Demographics
NPI:1598416372
Name:THE PILLER GROUP
Entity type:Organization
Organization Name:THE PILLER GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:BLACK
Authorized Official - Last Name:PILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:617-259-0125
Mailing Address - Street 1:105 MEETINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1795
Mailing Address - Country:US
Mailing Address - Phone:617-259-0125
Mailing Address - Fax:
Practice Address - Street 1:29 FRANKLIN ST UNIT 3
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1210
Practice Address - Country:US
Practice Address - Phone:617-644-0603
Practice Address - Fax:617-644-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health