Provider Demographics
NPI:1295331023
Name:SONGBIRD HEALTH MA LLC
Entity type:Organization
Organization Name:SONGBIRD HEALTH MA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-244-4592
Mailing Address - Street 1:177 HUNTINGTON AVE STE 1703
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-3153
Mailing Address - Country:US
Mailing Address - Phone:617-315-2546
Mailing Address - Fax:833-392-1148
Practice Address - Street 1:177 HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-3134
Practice Address - Country:US
Practice Address - Phone:617-315-2546
Practice Address - Fax:833-392-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty