Heaven Griffin, | |
88 Ash St, Winchendon, MA 01475-1707 | |
(978) 320-7613 | |
Not Available |
Full Name | Heaven Griffin |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 88 Ash St, Winchendon, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427727825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Clinical & Support Options, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491 |
Mailing Address | Practice Location Address |
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Heaven Griffin, 88 Ash St, Winchendon, MA 01475-1707 Ph: (978) 320-7613 | Heaven Griffin, 88 Ash St, Winchendon, MA 01475-1707 Ph: (978) 320-7613 |
Mrs. Hannah Derleth, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Benjamin St, Winchendon, MA 01475 Phone: 219-331-8081 | |
Sarah Summers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Chase Ln, Winchendon, MA 01475 Phone: 405-269-1424 | |
Mrs. Peggy Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Mellen Rd, Winchendon, MA 01475 Phone: 978-831-3198 |