| Godbout & Associates Llc | |
|
670 Amherst Rd Bldg 2 Granby MA 01033-9784 | |
| (413) 437-0310 | |
| Not Available |
| Full Name | Godbout & Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 670 Amherst Rd Bldg 2, Granby, Massachusetts |
| Authorized Official Name and Position | Nancy C Godbout (OWNER) |
| Authorized Official Contact | 4134370310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Godbout & Associates Llc Po Box 650 Granby MA 01033-0650 Ph: (413) 437-0310 | Godbout & Associates Llc 670 Amherst Rd Bldg 2 Granby MA 01033-9784 Ph: (413) 437-0310 |
| NPI Number | 1871201517 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Medicare PECOS PAC ID | 5294187969 |
|---|---|
| Medicare Enrollment ID | O20240118000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871201517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nancy Charlene Godbout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639749872 PECOS PAC ID: 6305063991 Enrollment ID: I20240118001063 |
Km Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Lyman St, Granby, MA 01033 Phone: 413-949-2420 |