| Halo | |
|
44 Roberts Rd Canaan NH 03741-7644 | |
| (603) 523-8804 | |
| Not Available |
| Full Name | Halo |
|---|---|
| Speciality | Counselor |
| Location | 44 Roberts Rd, Canaan, New Hampshire |
| Authorized Official Name and Position | Elena Vanzandt (MANAGING DIRECTOR) |
| Authorized Official Contact | 6035238804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halo 44 Roberts Rd Canaan NH 03741-7644 Ph: (603) 523-8804 | Halo 44 Roberts Rd Canaan NH 03741-7644 Ph: (603) 523-8804 |
| NPI Number | 1306382379 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 1658705272 |
|---|---|
| Medicare Enrollment ID | O20210111002618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306382379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Elena M Vanzandt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972830123 PECOS PAC ID: 2466886098 Enrollment ID: I20240314003775 |
Suzanne Mosaliganti Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Mallard Dr, Canaan, NH 03741 Phone: 857-523-5600 |