Healthcare Provider Details
I. General information
NPI: 1699807842
Provider Name (Legal Business Name): THE GUIDANCE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 SACRAMENTO ST
CAMBRIDGE MA
02138-1812
US
IV. Provider business mailing address
5 SACRAMENTO ST
CAMBRIDGE MA
02138-1812
US
V. Phone/Fax
- Phone: 617-354-2275
- Fax: 617-547-4356
- Phone: 617-354-2275
- Fax: 617-547-4356
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
AYERS
Title or Position: EXECUTIVE DIRECTOR
Credential: LICSW
Phone: 617-354-2275