| Heena Kim, | |
|
11 River St, Wellesley, MA 02481-2098 | |
| (516) 312-8193 | |
| Not Available |
| Full Name | Heena Kim |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 11 River St, Wellesley, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154873214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Colony Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720053408 PECOS PAC ID: 0042282055 Enrollment ID: O20040810001192 |
| Mailing Address | Practice Location Address |
|---|---|
| Heena Kim, 13 Spring Ct, Woburn, MA 01801-4456 Ph: (516) 312-8193 | Heena Kim, 11 River St, Wellesley, MA 02481-2098 Ph: (516) 312-8193 |
Julianne Morris Vidaver, MSW, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 219 Washington St, Wellesley, MA 02481 Phone: 781-431-2277 Fax: 781-431-7770 |
Daria Tcherniakovskaia, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Eaton Court, Wellesley, MA 02481 Phone: 617-759-2004 Fax: 781-302-4635 |
Mrs. Judith E Lappin, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 Washington St, Wellesley, MA 02481 Phone: 781-431-2277 Fax: 781-431-7770 |
Mr. Robert Markell, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 572 Washington St, Suite #14, Wellesley, MA 02482 Phone: 508-319-1694 |
Montana Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 River St, Wellesley, MA 02481 Phone: 772-277-8882 |
Dr. Peter Cohen, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Chesterton Rd, Wellesley, MA 02481 Phone: 781-235-5145 |
Kiley Gottschalk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Chapel Pl, Wellesley, MA 02481 Phone: 781-235-4950 |