| George D Affonso, LADC I, CADC | |
| 
					60 Cherry St, Plymouth, MA 02360-4466  | |
| (508) 746-6654 | |
| (508) 746-2433 | 
| Full Name | George D Affonso | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 60 Cherry St, Plymouth, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013655232 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16860 (Massachusetts) | Primary | 
| Entity Name | Total Wellness Centers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770816506 PECOS PAC ID: 2860536919 Enrollment ID: O20100628000153  | 
| Mailing Address | Practice Location Address | 
|---|---|
| George D Affonso, LADC I, CADC 11a Standish Ave, Plymouth, MA 02360-4145 Ph: (501) 626-8050  | George D Affonso, LADC I, CADC 60 Cherry St, Plymouth, MA 02360-4466 Ph: (508) 746-6654  | 
Paul D'espinoza, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 39a Industrial Park Rd, Plymouth, MA 02360 Phone: 508-830-1444 Fax: 508-830-3655  | |
Sarah A Benton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Main Street Ext, Suite 103, Plymouth, MA 02360 Phone: 508-830-0012 Fax: 508-830-0092  | |
Ms. Barbara Ann Capaldo, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Industrial Park Rd, South Bay Mental Health Center, Plymouth, MA 02360 Phone: 508-830-0000 Fax: 508-746-8429  | |
Kelly Marie Williams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Long Pond Rd, Plymouth, MA 02360 Phone: 508-747-7783 Fax: 508-747-7838  | |
Tiffanie Foster,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Industrial Park Rd, Plymouth, MA 02360 Phone: 774-628-1000  | |
Emily Huffman Kelly, BA, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Industrial Park Rd, Bayview Associates, Plymouth, MA 02360 Phone: 508-830-1630  |