OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER LLC
NPI 1841019577
Community/Behavioral Health in Quincy, MA

Active since October 09, 2024
1354 HANCOCK ST STE 202, QUINCY, MA 02169(857) 939-4445 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER LLC

This page provides the complete NPI Profile along with additional information for Outreach Behavioral Health And Wellness Center Llc, a provider established in Quincy, Massachusetts operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1841019577 assigned on October 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Brandon Gholson Lcsw (Manager)

NPI
1841019577 Verify this NPI
Provider Name
OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER LLC
Entity Type
Organization
Location Address
1354 HANCOCK ST STE 202 QUINCY, MA 02169
Location Phone
(857) 939-4445
Mailing Address
1354 HANCOCK ST STE 202 QUINCY, MA 02169
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2024
Last Update Date
10-09-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRANDON GHOLSON LCSW

Authorized Official Title
MANAGER
Authorized Official Phone
(857) 939-4445

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1354 HANCOCK ST STE 202
QUINCY, MA 02169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841019577, enumerated as an "organization" on October 09, 2024.

The provider is located at 1354 HANCOCK ST STE 202 QUINCY, MA 02169 and the phone number is (857) 939-4445.

Community/Behavioral Health with taxonomy code 251S00000X.