MEDICARE: MS. KIMBERLY SUSAN GALE-FLAHERTY LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	4975	MA

General Provider Information

NPI Number	:	1700935558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLY SUSAN GALE-FLAHERTY LMHC

Provider Business Mailing Address
First Line	:	521 MOUNT HOPE ST STE 203
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2611
Country	:	US
Telephone Number	:	508-431-7972
Fax Number	:	774-306-3509

Provider Business Practice Location Address
First Line	:	521 MOUNT HOPE ST STE 203
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2611
Country	:	US
Telephone Number	:	508-431-7972
Fax Number	:	774-306-3509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	12/09/2024

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