| Core Resilience Counseling, Pllc | |
|
50 Harvest Ln Tewksbury MA 01876-4557 | |
| (617) 855-8213 | |
| (207) 819-3491 |
| Full Name | Core Resilience Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 50 Harvest Ln, Tewksbury, Massachusetts |
| Authorized Official Name and Position | Shannon Ferrelli (MANAGER) |
| Authorized Official Contact | 6178558213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Resilience Counseling, Pllc 50 Harvest Ln Tewksbury MA 01876-4557 Ph: (617) 855-8213 | Core Resilience Counseling, Pllc 50 Harvest Ln Tewksbury MA 01876-4557 Ph: (617) 855-8213 |
| NPI Number | 1104651314 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 4880110485 |
|---|---|
| Medicare Enrollment ID | O20250428001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104651314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon Ferrelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447739248 PECOS PAC ID: 6608392204 Enrollment ID: I20250428001181 |
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