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NPI Code Detail

MEDICARE: TARYN BETHANIS-FERREIRA LMHC, PMHNP

MEDICARE: TARYN BETHANIS-FERREIRA LMHC, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor12168MA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2376947MA

General Provider Information

NPI Number : 1093234999
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARYN BETHANIS-FERREIRA LMHC, PMHNP
Provider Business Mailing Address
First Line : 15 STANLEY AVE
Second Line :
City : BERKLEY
State : MA
Zip : 02779-1917
Country : US
Telephone Number : 508-400-6328
Fax Number :
Provider Business Practice Location Address
First Line : 10 N MAIN ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-2130
Country : US
Telephone Number : 781-500-0710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 03/11/2026

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