Mackenzie J Miller, | |
190 Lenox St, Norwood, MA 02062-3416 | |
(781) 769-8674 | |
Not Available |
Full Name | Mackenzie J Miller |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 190 Lenox St, Norwood, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033962402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie J Miller, 907 Adams St # 2, Boston, MA 02124-5209 Ph: (857) 250-9962 | Mackenzie J Miller, 190 Lenox St, Norwood, MA 02062-3416 Ph: (781) 769-8674 |
Leah Stevens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Lenox St, Norwood, MA 02062 Phone: 781-769-8674 | |
Allison Mary Reese, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 Boston Providence Tpke Ste 38, Norwood, MA 02062 Phone: 781-747-8497 | |
Mrs. Ilene Phyllis Liner, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Lenox St, Norwood, MA 02062 Phone: 781-769-8670 Fax: 781-769-6717 | |
Allison K Lavine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Lenox St, Norwood, MA 02062 Phone: 781-769-8674 | |
David Ora Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Lenox St., Norwood, MA 02062 Phone: 781-769-8670 | |
Emily Pearless, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Lenox St, Norwood, MA 02062 Phone: 781-769-8670 | |
Yongen Tang, CLINICIAN Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Lenox St, Norwood, MA 02062 Phone: 781-769-8674 Fax: 781-440-0740 |