| Harbor Healing Arts Llc | |
|
1 Trowbridge Rd Ste 362 Bourne MA 02532-3660 | |
| (508) 848-9099 | |
| (508) 433-1871 |
| Full Name | Harbor Healing Arts Llc |
|---|---|
| Speciality | Counselor |
| Location | 1 Trowbridge Rd Ste 362, Bourne, Massachusetts |
| Authorized Official Name and Position | Marybeth Truran (OWNER) |
| Authorized Official Contact | 5088489099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Healing Arts Llc 1 Trowbridge Rd Ste 362 Bourne MA 02532-3660 Ph: (508) 848-9099 | Harbor Healing Arts Llc 1 Trowbridge Rd Ste 362 Bourne MA 02532-3660 Ph: (508) 848-9099 |
| NPI Number | 1447088398 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 5496296402 |
|---|---|
| Medicare Enrollment ID | O20240918001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447088398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marybeth Stackhouse Truran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548657307 PECOS PAC ID: 6305387317 Enrollment ID: I20240918001429 |
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