| Enso Counseling Group, Pllc | |
|
82 S State St Concord NH 03301-3520 | |
| (978) 704-1861 | |
| Not Available |
| Full Name | Enso Counseling Group, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 82 S State St, Concord, New Hampshire |
| Authorized Official Name and Position | Scot Wilson (PARTNER) |
| Authorized Official Contact | 9787041861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enso Counseling Group, Pllc 43 Garland Rd Nottingham NH 03290-6106 Ph: () - | Enso Counseling Group, Pllc 82 S State St Concord NH 03301-3520 Ph: (978) 704-1861 |
| NPI Number | 1598360752 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 1759795321 |
|---|---|
| Medicare Enrollment ID | O20210122002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598360752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tracey A Coulon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427171842 PECOS PAC ID: 1759465255 Enrollment ID: I20080222000031 |
| Provider Name | Kristy M Moen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922168079 PECOS PAC ID: 6709020571 Enrollment ID: I20130917000419 |
| Provider Name | Kimberly Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992157879 PECOS PAC ID: 1456686906 Enrollment ID: I20190705001078 |
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