| Nanciellen Laurah Poulin, LMHC | |
|
333 East St, Brien Center, Pittsfield, MA 01201-5312 | |
| (413) 499-0412 | |
| (413) 499-0979 |
| Full Name | Nanciellen Laurah Poulin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 333 East St, Pittsfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326115957 | NPI | - | NPPES |
| 33578 | Other | MA | HEALTH NEW ENGLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6084 (Massachusetts) | Primary |
| Entity Name | The Brien Center For Mental Health And Substance Abuse Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518984251 PECOS PAC ID: 7214907906 Enrollment ID: O20040729000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Nanciellen Laurah Poulin, LMHC 333 East St, Pittsfield, MA 01201-5369 Ph: (413) 499-0412 | Nanciellen Laurah Poulin, LMHC 333 East St, Brien Center, Pittsfield, MA 01201-5312 Ph: (413) 499-0412 |
Eileeen Morrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Jill Marion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Ms. Pamela Bucklin Burger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 Eagle St, First Floor, Pittsfield, MA 01201 Phone: 413-236-5656 Fax: 413-499-6572 | |
Daniel Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1251 Fax: 413-448-2198 | |
Theresa Whitney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Helen Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 Wendell Ave Ste 100, Pittsfield, MA 01201 Phone: 617-410-6494 | |
Quintin Sumpter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 |