Provider Demographics
NPI:1053026369
Name:MAURA GILMORE LMHC CHILD AND FAMILY THERAPY
Entity type:Organization
Organization Name:MAURA GILMORE LMHC CHILD AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:GILMORE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-512-9762
Mailing Address - Street 1:10 NEW DRIFTWAY STE 302
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-4546
Mailing Address - Country:US
Mailing Address - Phone:617-512-9762
Mailing Address - Fax:
Practice Address - Street 1:10 NEW DRIFTWAY STE 302
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-4546
Practice Address - Country:US
Practice Address - Phone:617-512-9762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health