Healthcare Provider Details

I. General information

NPI: 1255038949
Provider Name (Legal Business Name): MATT STRANBERG CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 FOREST HILLS RD
COTUIT MA
02635-2329
US

IV. Provider business mailing address

20 FOREST HILLS RD
COTUIT MA
02635-2329
US

V. Phone/Fax

Practice location:
  • Phone: 978-201-6607
  • Fax: 978-215-9944
Mailing address:
  • Phone: 978-201-6607
  • Fax: 978-215-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MATT JAMES STRANBERG
Title or Position: OWNER
Credential: MS RDN LDN CSSD CSCS
Phone: 978-201-6607