| Brave Sparrow Counseling, Llc | |
|
6 S State St Concord NH 03301-3761 | |
| (603) 228-3862 | |
| Not Available |
| Full Name | Brave Sparrow Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6 S State St, Concord, New Hampshire |
| Authorized Official Name and Position | Rachel Vaughan (EMPLOYEE) |
| Authorized Official Contact | 6032283863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Sparrow Counseling, Llc 6 S State St Concord NH 03301-3761 Ph: (603) 545-5088 | Brave Sparrow Counseling, Llc 6 S State St Concord NH 03301-3761 Ph: (603) 228-3862 |
| NPI Number | 1164171716 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 03/21/2022 |
| Certification Date | 03/21/2022 |
| Medicare PECOS PAC ID | 3870949274 |
|---|---|
| Medicare Enrollment ID | O20231020001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164171716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629239835 PECOS PAC ID: 7810050358 Enrollment ID: I20090109000665 |
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