| Hope Koram, LMHC | |
|
15 Carberry St, Medford, MA 02155-1804 | |
| (617) 756-6267 | |
| Not Available |
| Full Name | Hope Koram |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 15 Carberry St, Medford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033768718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC5000921 (Massachusetts) | Primary |
| Entity Name | Sb Transitional Sub Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Koram, LMHC 15 Carberry St, Medford, MA 02155-1804 Ph: (617) 756-6267 | Hope Koram, LMHC 15 Carberry St, Medford, MA 02155-1804 Ph: (617) 756-6267 |
Ms. Socorro Ching, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Winthrop St, Medford, MA 02155 Phone: 781-395-3822 | |
Miss Melissa Wood, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Mystic Ave, Medford, MA 02155 Phone: 781-396-1199 Fax: 781-396-1439 | |
Barbara Joan Katz, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Road, Suite 209, Medford, MA 02155 Phone: 781-395-0625 Fax: 781-395-0198 | |
Wesley Jonathan Lambert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Wright Ave, Medford, MA 02155 Phone: 781-368-0234 | |
Jill N Dubendris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Park St, Medford, MA 02155 Phone: 508-212-0299 | |
Mr. Jonathan Joseph Donahue, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 0 Governors Ave, Suite 20, Medford, MA 02155 Phone: 781-395-3086 Fax: 781-395-3086 |