| Anew Behavioral Health Llc | |
|
372 West St Ste 102 Keene NH 03431-2412 | |
| (603) 338-0033 | |
| (800) 480-7578 |
| Full Name | Anew Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 372 West St Ste 102, Keene, New Hampshire |
| Authorized Official Name and Position | Brittany Pratt (ADMINISTRATOR) |
| Authorized Official Contact | 6033380033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Behavioral Health Llc 372 West St Ste 102 Keene NH 03431-2412 Ph: (603) 338-0033 | Anew Behavioral Health Llc 372 West St Ste 102 Keene NH 03431-2412 Ph: (603) 338-0033 |
| NPI Number | 1023605334 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Medicare PECOS PAC ID | 6305233503 |
|---|---|
| Medicare Enrollment ID | O20220418001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023605334 | NPI | - | NPPES |
| Provider Name | Michael Boggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891038824 PECOS PAC ID: 2062725658 Enrollment ID: I20170522001967 |
| Provider Name | Ann E Caraballo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942596010 PECOS PAC ID: 5799169892 Enrollment ID: I20220908000314 |
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