MEDICARE: APOGEE HUMAN SERVICES CONSULTANTS, LLC

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
1	251B00000X	Case Management Agency	9407	MA
2	251S00000X	Community/Behavioral Health Agency	9407	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000023532	OTHER	MA	BMC
2	1303287	OTHER	MA	MBHP
3	M18633	OTHER	MA	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1004745	OTHER	MA	NPH

General Provider Information

NPI Number	:	1285091611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOGEE HUMAN SERVICES CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 925
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-0010
Country	:	US
Telephone Number	:	617-804-0722
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 CRYSTAL ST
Second Line	:
City	:	MELROSE
State	:	MA
Zip	:	02176-2705
Country	:	US
Telephone Number	:	617-319-7203
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SHEILA LEGRAND
Credential	:	LMHC
Telephone Number	:	617-319-7203

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	02/15/2016

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