| Mr Mark Dagnall, LMHC, LADC 1, CRC | |
| 75 Amory St, Rear Entrance, Boston, MA 02119-1051 | |
| (857) 399-1915 | |
| (857) 399-1901 | 
| Full Name | Mr Mark Dagnall | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 75 Amory St, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083930192 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2411 (Massachusetts) | Secondary | 
| 101YM0800X | Counselor - Mental Health | 9039 (Massachusetts) | Primary | 
| Entity Name | Total Wellness Centers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770816506 PECOS PAC ID: 2860536919 Enrollment ID: O20100628000153 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Mark Dagnall, LMHC, LADC 1, CRC 75 Amory St, Rear Entrance, Boston, MA 02119-1051 Ph: (857) 399-1915 | Mr Mark Dagnall, LMHC, LADC 1, CRC 75 Amory St, Rear Entrance, Boston, MA 02119-1051 Ph: (857) 399-1915 | 
| Ms. Anna Roglieri,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
| David Bailey,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Sycamore St Apt 2, Boston, MA 02131 Phone: 857-383-9811 | |
| Bena Berry,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Staniford St, Boston, MA 02114 Phone: 978-728-2659 | |
| Sophia Butowicz, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 E Dedham St, Boston, MA 02118 Phone: 617-581-5937 | |
| Mehak Avasthi,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W 2nd St Apt 8, Boston, MA 02127 Phone: 413-399-2926 | |
| Trevor Michael Todd Jr.,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Harrison Ave Ste 250, Boston, MA 02118 Phone: 617-238-4910 | |
| Rachel Leschernier, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 Topeka St, Boston, MA 02118 Phone: 617-442-1499 |