Healthcare Provider Details

I. General information

NPI: 1093234999
Provider Name (Legal Business Name): TARYN BETHANIS-FERREIRA LMHC, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARYN BETHANIS LMHC, PMHNP

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N MAIN ST
FALL RIVER MA
02720-2130
US

IV. Provider business mailing address

15 STANLEY AVE
BERKLEY MA
02779-1917
US

V. Phone/Fax

Practice location:
  • Phone: 781-500-0710
  • Fax:
Mailing address:
  • Phone: 508-400-6328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12168
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2376947
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: