| Integrity Care Management Llc | |
|
9 Trafalgar Sq Ste 270 Nashua NH 03063-1900 | |
| (603) 490-0784 | |
| Not Available |
| Full Name | Integrity Care Management Llc |
|---|---|
| Speciality | Counselor |
| Location | 9 Trafalgar Sq Ste 270, Nashua, New Hampshire |
| Authorized Official Name and Position | John Stevens (MEMBER) |
| Authorized Official Contact | 6034900784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Care Management Llc 9 Trafalgar Sq Ste 270 Nashua NH 03063-1900 Ph: () - | Integrity Care Management Llc 9 Trafalgar Sq Ste 270 Nashua NH 03063-1900 Ph: (603) 490-0784 |
| NPI Number | 1497516371 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 4183065220 |
|---|---|
| Medicare Enrollment ID | O20240507003703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497516371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Lynn Ann Angelo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164163515 PECOS PAC ID: 6305282427 Enrollment ID: I20240312002100 |
| Provider Name | Susan Marie Edmonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275280877 PECOS PAC ID: 8628419769 Enrollment ID: I20240507003947 |
| Provider Name | Courtney Summers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891036570 PECOS PAC ID: 7315388485 Enrollment ID: I20240508000088 |
| Provider Name | Allyson I Skopelites |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447849757 PECOS PAC ID: 2062862121 Enrollment ID: I20240508000306 |
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