| Blue Water Counseling And Wellness, Pllc | |
|
835 Central Ave Ste 126 Dover NH 03820-2506 | |
| (603) 652-1091 | |
| Not Available |
| Full Name | Blue Water Counseling And Wellness, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 835 Central Ave Ste 126, Dover, New Hampshire |
| Authorized Official Name and Position | Abigail J Trnovsky (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 6036521091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Counseling And Wellness, Pllc 101 Bassett Dr Barrington NH 03825-5409 Ph: (603) 652-1091 | Blue Water Counseling And Wellness, Pllc 835 Central Ave Ste 126 Dover NH 03820-2506 Ph: (603) 652-1091 |
| NPI Number | 1225675317 |
|---|---|
| Provider Enumeration Date | 12/08/2019 |
| Last Update Date | 12/08/2019 |
| Certification Date | 12/08/2019 |
| Medicare PECOS PAC ID | 0749615789 |
|---|---|
| Medicare Enrollment ID | O20200121001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225675317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Abigail Trnovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356511265 PECOS PAC ID: 9638323348 Enrollment ID: I20130205000450 |
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