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NPI Code Detail

MEDICARE: GLOBAL BEHAVIORAL HEALTHCARE LLC

MEDICARE: GLOBAL BEHAVIORAL HEALTHCARE 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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist

General Provider Information

NPI Number : 1649805607
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL BEHAVIORAL HEALTHCARE LLC
Provider Business Mailing Address
First Line : 240 BEAR HILL RD STE 104
Second Line :
City : WALTHAM
State : MA
Zip : 02451-1026
Country : US
Telephone Number : 857-312-5626
Fax Number :
Provider Business Practice Location Address
First Line : 240 BEAR HILL RD STE 104
Second Line :
City : WALTHAM
State : MA
Zip : 02451-1026
Country : US
Telephone Number : 857-312-5626
Fax Number :
Authorized Official
Title or Position : PRACTICE OWNER
Name : ANNET M MUKASA
Credential : NP
Telephone Number : 857-312-5626
Provider Enumeration Date : 03/10/2020
Last Update Date : 08/22/2025

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Directions to “GLOBAL BEHAVIORAL HEALTHCARE LLC ” Practice Location

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