Healthcare Provider Details

I. General information

NPI: 1194600189
Provider Name (Legal Business Name): COMPREHENSIVE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 NEEDHAM ST STE 220
NEWTON MA
02464-1562
US

IV. Provider business mailing address

188 NEEDHAM ST STE 220
NEWTON MA
02464-1562
US

V. Phone/Fax

Practice location:
  • Phone: 617-527-4610
  • Fax: 617-527-6829
Mailing address:
  • Phone: 617-527-4610
  • Fax: 617-527-6829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code364SP0810X
TaxonomyChild & Family Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE HEBERT
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 978-275-9444