| Cedar Grove Counseling And Wellness Center, Pllc | |
|
89 Portsmouth Ave Stratham NH 03885-2467 | |
| (978) 307-8654 | |
| Not Available |
| Full Name | Cedar Grove Counseling And Wellness Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 89 Portsmouth Ave, Stratham, New Hampshire |
| Authorized Official Name and Position | Marcia Roche (OWNER AND MH CLINICIAN) |
| Authorized Official Contact | 9783078654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Grove Counseling And Wellness Center, Pllc 89 Portsmouth Ave Stratham NH 03885-2467 Ph: (860) 373-8421 | Cedar Grove Counseling And Wellness Center, Pllc 89 Portsmouth Ave Stratham NH 03885-2467 Ph: (978) 307-8654 |
| NPI Number | 1184268161 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184268161 | NPI | - | NPPES |
| 3121290 | Medicaid | NH | |
| 3104762 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Mindful Life Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Portsmouth Avenue, Suite 1 #1070, Stratham, NH 03885 Phone: 603-729-3373 |