Healthcare Provider Details

I. General information

NPI: 1407556483
Provider Name (Legal Business Name): AB MA METROWEST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MOUNT ROYAL AVE STE 250
MARLBOROUGH MA
01752-1960
US

IV. Provider business mailing address

26 GROVE ST
UPTON MA
01568-1338
US

V. Phone/Fax

Practice location:
  • Phone: 508-529-9014
  • Fax: 508-251-1370
Mailing address:
  • Phone: 617-515-8349
  • Fax: 508-251-1370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES AMARAL
Title or Position: CLINIC DIRECTOR
Credential: LMHC
Phone: 508-463-5505