Healthcare Provider Details

I. General information

NPI: 1881394070
Provider Name (Legal Business Name): THREE RIVERS MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 DOMINO DR STE 104B
CONCORD MA
01742-2802
US

IV. Provider business mailing address

9 DAMONMILL SQ STE 2H-2
CONCORD MA
01742-2858
US

V. Phone/Fax

Practice location:
  • Phone: 857-229-2852
  • Fax: 857-216-6588
Mailing address:
  • Phone: 857-229-2852
  • Fax: 857-216-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NINA ABELOWITZ
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 857-229-2852