Healthcare Provider Details
I. General information
NPI: 1205773702
Provider Name (Legal Business Name): SMC HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
447 BROADWAY STE 206
TAUNTON MA
02780-1550
US
IV. Provider business mailing address
447 BROADWAY STE 206
TAUNTON MA
02780-1550
US
V. Phone/Fax
- Phone: 508-989-8069
- Fax:
- Phone: 508-989-8069
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATHIEU
CLIFFORD
Title or Position: CO-OWNER
Credential: LMHC
Phone: 508-989-8069