1083208987 NPI number — RESILIENCY AND OPTIMISM CHANGES LIVES (R.O.C.) THERAPEUTIC COACHING SE

Table of content: (NPI 1083208987)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083208987 NPI number — RESILIENCY AND OPTIMISM CHANGES LIVES (R.O.C.) THERAPEUTIC COACHING SE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESILIENCY AND OPTIMISM CHANGES LIVES (R.O.C.) THERAPEUTIC COACHING SE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083208987
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 RICHMERE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MATTAPAN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02126-3201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-755-6448
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 WESTINGHOUSE PLZ STE A101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HYDE PARK
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02136-2183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-539-6448
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2021

Additional Information

Authorized Official

Authorized Official Last Name:
AUSTIN
Authorized Official First Name:
LAKISHA
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CEO/FOUNDER
Authorized Official Telephone Number:
617-755-6448

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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