| Travis M Tebbetts, LMHC | |
|
35 Park Ln, Brewster, MA 02631-1741 | |
| (508) 942-7189 | |
| Not Available |
| Full Name | Travis M Tebbetts |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 35 Park Ln, Brewster, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205385283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC10002051 (Massachusetts) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Gosnold, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639219314 PECOS PAC ID: 5991776627 Enrollment ID: O20040804001622 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis M Tebbetts, LMHC 35 Park Ln, Brewster, MA 02631-1741 Ph: (508) 942-7189 | Travis M Tebbetts, LMHC 35 Park Ln, Brewster, MA 02631-1741 Ph: (508) 942-7189 |
Michael Blanchard, LADC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 Harwich Rd, Brewster, MA 02631 Phone: 774-994-0412 | |
Mrs. Susan R Hubler, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Barons Way, Brewster, MA 02631 Phone: 508-896-4265 | |
Barbara Pierce Segal, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3937 Main St, Brewster, MA 02631 Phone: 508-240-0092 Fax: 508-255-1311 | |
Ms. Sharon Stout, L.M.H.C. Counselor Medicare: Medicare Enrolled Practice Location: 8 Granite State Ct, Counseling Suite, Brewster, MA 02631 Phone: 774-722-4350 Fax: 508-240-6521 | |
Rebecca Fischer, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 297 Thousand Oaks Dr, Brewster, MA 02631 Phone: 508-785-5484 | |
Mrs. Julie Ruppert Cusack, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 60 Abners Cir, Brewster, MA 02631 Phone: 508-209-6342 Fax: 508-224-5989 |