| Ms Michelle Beth Supple, LMHC | |
|
200 East Main St, Milford, MA 01757 | |
| (508) 634-1877 | |
| (508) 634-1878 |
| Full Name | Ms Michelle Beth Supple |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 200 East Main St, Milford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992804421 | NPI | - | NPPES |
| 2220002001 | Other | MA | BCBS MA SA |
| 1308785 | Other | MA | MCD MH |
| M18684 | Other | BCBS MH | |
| 1306421 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6080 (Massachusetts) | Primary |
| Entity Name | Spectrum Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346430253 PECOS PAC ID: 8224017082 Enrollment ID: O20040715000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle Beth Supple, LMHC 200 East Main St, Milford, MA 01757 Ph: (508) 634-1877 | Ms Michelle Beth Supple, LMHC 200 East Main St, Milford, MA 01757 Ph: (508) 634-1877 |
Mark P. Collett, LADC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 Main St, Milford, MA 01757 Phone: 508-485-3541 | |
Elaine Pappalardo, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Hamilton Ave, Milford, MA 01757 Phone: 508-422-8818 | |
Pamela Atem, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Asylum St, Milford, MA 01757 Phone: 508-478-6888 Fax: 508-478-9042 | |
Allison Jean Glasier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 176 West St, Milford, MA 01757 Phone: 508-529-7000 | |
Haylee Pedroli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Birch St, Milford, MA 01757 Phone: 774-573-9514 | |
Mr. Daniel Charles Cicconi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Eugene Cir, Milford, MA 01757 Phone: 508-879-3230 | |
Geri Sue Leporati, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 E Main St Ste 200, Milford, MA 01757 Phone: 508-478-0207 Fax: 508-634-6984 |