Healthcare Provider Details

I. General information

NPI: 1033053418
Provider Name (Legal Business Name): BRIAN PACHECO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 COVE ST
FALL RIVER MA
02720-1357
US

IV. Provider business mailing address

138 AMITY ST
FALL RIVER MA
02721-2202
US

V. Phone/Fax

Practice location:
  • Phone: 508-678-0041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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:
Title or Position:
Credential:
Phone: