Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teens Against Gang Violence

Organization Addiction (Substance Use Disorder) Counselor · NPI 1649516220

Teens Against Gang Violence is an Addiction (Substance Use Disorder) Counselor in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.

Licensed in
MA
In the registry since
2012
Specialties on file
3

Practice location Address checks out

735 Morrissey Blvd
Boston, MA 02122-3406
Phone: (617) 365-0637
Fax: (617) 282-9659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 40 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 265 (MA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 149 (MA)

Record details

NPI number1649516220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ulric Johnson — Owner · 61733650637
Other names Teens Advocating A Global Vision
NPI enumeratedDecember 30, 2012
Last updated in NPPESFebruary 16, 2015
Mailing address2 Moody St, Boston, MA 02124-3507

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