Healthcare Provider Details

I. General information

NPI: 1396568416
Provider Name (Legal Business Name): DAMON COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 BRIMFIELD RD
WARREN MA
01083-0108
US

IV. Provider business mailing address

PO BOX 1162
WARREN MA
01083-1162
US

V. Phone/Fax

Practice location:
  • Phone: 978-560-3255
  • Fax:
Mailing address:
  • Phone: 978-560-3255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER JOHN DAMON JR.
Title or Position: MENTAL HEALTH COUNSELOR / OWNER
Credential: LMHC
Phone: 978-560-3255