| Mrs Melissa Ann Recore, LMHC | |
|
559 Main St Ste 303a, Fiskdale, MA 01518-1208 | |
| (508) 347-7787 | |
| (508) 347-7347 |
| Full Name | Mrs Melissa Ann Recore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 559 Main St Ste 303a, Fiskdale, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275982316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9635 (Massachusetts) | Primary |
| Entity Name | Northeast Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20220826002724 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa Ann Recore, LMHC Po Box 525, Fiskdale, MA 01518-0525 Ph: (508) 347-7787 | Mrs Melissa Ann Recore, LMHC 559 Main St Ste 303a, Fiskdale, MA 01518-1208 Ph: (508) 347-7787 |
Mrs. Joyce Elizabeth Wickman, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 25 Arnold Rd, Fiskdale, MA 01518 Phone: 508-208-1241 | |
Dr. Robert Marlowe Johnson, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Main St, Fiskdale, MA 01566 Phone: 508-347-7755 |