| Collaborative Counseling, Llc | |
|
131 Mass Moca Way North Adams MA 01247 | |
| (413) 446-8833 | |
| Not Available |
| Full Name | Collaborative Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 131 Mass Moca Way, North Adams, Massachusetts |
| Authorized Official Name and Position | Abigail W. Reifsnyder (RESIDENT AGENT) |
| Authorized Official Contact | 4134468833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling, Llc 173 Sand Springs Road Williamstown MA 01267 Ph: (413) 446-8833 | Collaborative Counseling, Llc 131 Mass Moca Way North Adams MA 01247 Ph: (413) 446-8833 |
| NPI Number | 1679125173 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Medicare PECOS PAC ID | 6103259643 |
|---|---|
| Medicare Enrollment ID | O20191213001405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679125173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Abigail W Reifsnyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639302565 PECOS PAC ID: 3476988536 Enrollment ID: I20200117001086 |
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