| Anchored Counseling Services Llc | |
|
58 N Circle Dr East Longmeadow MA 01028-1345 | |
| (413) 575-7028 | |
| Not Available |
| Full Name | Anchored Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 58 N Circle Dr, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Nicole Rodriguez (FOUNDER) |
| Authorized Official Contact | 4135757028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Counseling Services Llc 58 N Circle Dr East Longmeadow MA 01028-1345 Ph: (413) 575-7028 | Anchored Counseling Services Llc 58 N Circle Dr East Longmeadow MA 01028-1345 Ph: (413) 575-7028 |
| NPI Number | 1942010780 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 1658897079 |
|---|---|
| Medicare Enrollment ID | O20250429002290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942010780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Ann Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639574627 PECOS PAC ID: 1254857675 Enrollment ID: I20250429002918 |
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