Healthcare Provider Details

I. General information

NPI: 1114325974
Provider Name (Legal Business Name): MARIA SAXIONIS S.W, LADC-1,CCBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA VASTIS SAXIONIS S.W.LADC-1, CCBT

II. Dates (important events)

Enumeration Date: 12/10/2014
Last Update Date: 12/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 POND ST
FRANKLIN MA
02038-3807
US

IV. Provider business mailing address

400 WASHINGTON ST
BRAINTREE MA
02184-4729
US

V. Phone/Fax

Practice location:
  • Phone: 508-528-6037
  • Fax:
Mailing address:
  • Phone: 781-843-3853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number360-I
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number1027044
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: