OrganizationActive
Bay State Counseling Services, Inc.
NPI 1386923720 · Mental Health Clinic/Center (Including Community Mental Health Center) · Brockton, MA
Provider details
- NPI number
- 1386923720
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Yanants Antonevich, Director
Practice location
1717 Main St
R
Brockton, MA 02301-7134
Phone: (508) 857-1466
Fax: (508) 857-1725
Mailing address
1717-R Main Street
Brockton, MA 02301-7134
Registry dates
- Enumerated
- 2011-08-16
- Last updated
- 2011-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.