| Mrs Sue Ellen Daigle-gillis, LMHC | |
|
940 Belmont St, Va Medical Center, Brockton, MA 02301-5596 | |
| (774) 826-1656 | |
| (774) 826-1655 |
| Full Name | Mrs Sue Ellen Daigle-gillis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 54 Years |
| Location | 940 Belmont St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578656534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC3709 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brockton Neighborhood Health Center | 3870491699 | 64 |
| Entity Name | Brockton Neighborhood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sue Ellen Daigle-gillis, LMHC 940 Belmont St, Va Medical Center, Brockton, MA 02301-5596 Ph: (774) 826-1656 | Mrs Sue Ellen Daigle-gillis, LMHC 940 Belmont St, Va Medical Center, Brockton, MA 02301-5596 Ph: (774) 826-1656 |
Mrs. Neena Nicole Mcconnico, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 River St, Brockton, MA 02302 Phone: 508-580-8546 | |
Cecilia Vicente, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St, Suite 300, Brockton, MA 02301 Phone: 508-586-2660 Fax: 508-427-1505 | |
Krista Hojlo, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Brian Dr, Brockton, MA 02301 Phone: 508-245-1566 | |
Pamela Cummisky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Meadowbrook Rd, Brockton, MA 02301 Phone: 774-628-1000 | |
Thalia Dominguez, NREMT, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Cherry St, Brockton, MA 02301 Phone: 508-580-0801 | |
Janice Marie Johnson-plumer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Fl 3, Brockton, MA 02301 Phone: 508-586-2660 | |
Deborah G Stromberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Belmont St, Brockton, MA 02301 Phone: 508-580-4691 Fax: 508-588-5751 |