Healthcare Provider Details

I. General information

NPI: 1659295046
Provider Name (Legal Business Name): LONGVIEW BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 BISHOPS HWY STE 202
KINGSTON MA
02364-2035
US

IV. Provider business mailing address

400A FRANKLIN ST STE 202
BRAINTREE MA
02184-5524
US

V. Phone/Fax

Practice location:
  • Phone: 857-930-0125
  • Fax: 781-987-7200
Mailing address:
  • Phone: 857-930-0125
  • Fax: 781-987-7200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. NICOLE WILKINSON
Title or Position: HUMAN RESOURCES
Credential: WILKINSON
Phone: 857-930-0125