Costa, David
Costa, David is an individual health care provider with primary practice located at 106 Spring St Ste 109, New Bedford MA 02740. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Costa, David can be contacted via phone (508) 678-0041.Contact Information
Primary practice address
106 Spring St Ste 109
New Bedford MA 02740
Phone: (508) 678-0041
Fax: (508) 324-9002
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 103 | Massachusetts |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 202045 | Massachusetts |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 129 | Massachusetts |
Profile Details
NPI number | 1013979392 |
---|---|
LBN Legal business name | Costa, David |
Credentials | LMHC LMFT LCSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013979392 | NPPES |
Massachusetts | Other | 103 | LMHC LICENSE |
Massachusetts | Other | 129 | LMHC LICENSE |
Massachusetts | Other | 202045 | LMHC LICENSE |
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