Healthcare Provider Details

I. General information

NPI: 1376493288
Provider Name (Legal Business Name): ANNMARIE NASSIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 MADISON ST
FALL RIVER MA
02720-4037
US

IV. Provider business mailing address

931 MADISON ST
FALL RIVER MA
02720-4037
US

V. Phone/Fax

Practice location:
  • Phone: 617-319-0827
  • Fax:
Mailing address:
  • Phone: 617-319-0827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5281
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: