MR. ROBERT R FLECK I MED, CAGS, LMHC, LSW
NPI 1407062870
Counselor - Mental Health in Beverly, MA
Active since May 15, 2007
About Mr. Robert R Fleck I Med, Cags, Lmhc, Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROBERT R FLECK I MED, CAGS, LMHC, LSW (NPI 1407062870) is an individual mental health provider in Beverly, Massachusetts, licensed in Massachusetts (7906) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1407062870
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ROBERT R FLECK ICredential: MED, CAGS, LMHC, LSW
Location Address348 RANTOUL ST, SUITE 302Beverly, MA 01915-3260
Mailing Address348 Rantoul St, Suite 302Beverly, MA 01915-3260 · (978) 828-9400
Phone(978) 828-9400
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1407062870 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 7906
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 389185 (MA)
Also ListedSocial WorkerTaxonomy 104100000X · License 3032698 (MA)
348 RANTOUL ST, Beverly, MA 01915
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407062870, enumerated as an "individual" on May 15, 2007.
The provider is located at 348 RANTOUL ST SUITE 302 BEVERLY, MA 01915 and the phone number is (978) 828-9400.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
