Healthcare Provider Details

I. General information

NPI: 1124940689
Provider Name (Legal Business Name): UNLIMITED BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 QUINCY AVE
BROCKTON MA
02302-2864
US

IV. Provider business mailing address

225 QUINCY AVE
BROCKTON MA
02302-2864
US

V. Phone/Fax

Practice location:
  • Phone: 888-763-7272
  • Fax:
Mailing address:
  • Phone: 888-763-7272
  • Fax: 877-243-2959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: VANIA SOFIA RAMOS
Title or Position: CLINICIAN
Credential: MA
Phone: 857-413-6668