Healthcare Provider Details

I. General information

NPI: 1386427748
Provider Name (Legal Business Name): REAL EYES TRUTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W MAIN ST
HYANNIS MA
02601-3498
US

IV. Provider business mailing address

1309 RACE LN
MARSTONS MILLS MA
02648-1105
US

V. Phone/Fax

Practice location:
  • Phone: 508-815-6493
  • 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
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAJA SINJAB
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: LMHC
Phone: 774-400-0437