| Amber Moon Wellness, Pllc | |
|
426 State St Portsmouth NH 03801-4049 | |
| (707) 654-4325 | |
| (630) 883-0690 |
| Full Name | Amber Moon Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 426 State St, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Kathleen Amanda Waleryszak (OWNER) |
| Authorized Official Contact | 7076544325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Moon Wellness, Pllc 8a Ridgewood Dr Kittery ME 03904-1046 Ph: (207) 337-0456 | Amber Moon Wellness, Pllc 426 State St Portsmouth NH 03801-4049 Ph: (707) 654-4325 |
| NPI Number | 1689329112 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Medicare PECOS PAC ID | 8820482482 |
|---|---|
| Medicare Enrollment ID | O20220224000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689329112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathleen Amanda Waleryszak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821647470 PECOS PAC ID: 1052714763 Enrollment ID: I20210719002181 |
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