| East Rock Collective, Llc | |
|
291 Main St Great Barrington MA 01230-1608 | |
| (413) 274-2011 | |
| Not Available |
| Full Name | East Rock Collective, Llc |
|---|---|
| Speciality | Counselor |
| Location | 291 Main St, Great Barrington, Massachusetts |
| Authorized Official Name and Position | Morgan James Burns (CLINICIAN) |
| Authorized Official Contact | 4132742011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Rock Collective, Llc Po Box 55 Housatonic MA 01236-0055 Ph: (413) 274-2011 | East Rock Collective, Llc 291 Main St Great Barrington MA 01230-1608 Ph: (413) 274-2011 |
| NPI Number | 1639927395 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 2466977731 |
|---|---|
| Medicare Enrollment ID | O20250418001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639927395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Morgan Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316348121 PECOS PAC ID: 6305185992 Enrollment ID: I20190226001266 |
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