| Angel Ortiz, | |
|
1076 W Swanzey Rd, Swanzey, NH 03446-3219 | |
| (603) 358-0070 | |
| (603) 358-0070 |
| Full Name | Angel Ortiz |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1076 W Swanzey Rd, Swanzey, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235547357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0866 (New Hampshire) | Primary |
| Entity Name | Elliot Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Ortiz, 1076 W Swanzey Rd, Swanzey, NH 03446-3219 Ph: (603) 358-0070 | Angel Ortiz, 1076 W Swanzey Rd, Swanzey, NH 03446-3219 Ph: (603) 358-0070 |
Judyth A Leavitt, LICSW, MLADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 172 Marcy Hill Rd, Swanzey, NH 03446 Phone: 603-448-2705 | |
Mrs. Corin Jessica Bednar, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 S Winchester St Apt 1, Swanzey, NH 03446 Phone: 603-313-9487 | |
Ms. Janet P Cleary, MA, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 39 Partridgeberry Lane, Swanzey, NH 03446 Phone: 603-209-1526 Fax: 603-283-0197 | |
Kayla P Sirois, LCMHC, R-DMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Old Homestead Hwy, Swanzey, NH 03446 Phone: 603-352-7300 | |
Mrs. Jamie Ellen Pouliot, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Old Homestead Hwy, Suite I, Swanzey, NH 03446 Phone: 603-209-6137 Fax: 603-499-4455 |