MEDICARE: ESSENCE OF PEARLS COUNSELING

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528534229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENCE OF PEARLS COUNSELING

Provider Business Mailing Address
First Line	:	16 MILTON ST STE 6
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-2991
Country	:	US
Telephone Number	:	866-955-1167
Fax Number	:	888-245-9392

Provider Business Practice Location Address
First Line	:	16 MILTON ST STE 6
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-2991
Country	:	US
Telephone Number	:	866-955-1167
Fax Number	:	888-245-9392

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. MARGARET ANN JACKSON
Credential	:	DOCTOR IN SOCIAL DSW
Telephone Number	:	781-480-1784

Provider Enumeration Date	:	10/19/2018
Last Update Date	:	10/02/2023

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Directions to “ESSENCE OF PEARLS COUNSELING ” Practice Location

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