| Karin Tiernan Counseling Services Llc | |
|
36 Elm Ave Fairhaven MA 02719-6904 | |
| (508) 789-5637 | |
| Not Available |
| Full Name | Karin Tiernan Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 36 Elm Ave, Fairhaven, Massachusetts |
| Authorized Official Name and Position | Karin Tiernan (FOUNDER) |
| Authorized Official Contact | 5087895637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karin Tiernan Counseling Services Llc 16 Sconticut Neck Rd Ste 392 Fairhaven MA 02719-1914 Ph: (508) 789-5637 | Karin Tiernan Counseling Services Llc 36 Elm Ave Fairhaven MA 02719-6904 Ph: (508) 789-5637 |
| NPI Number | 1144003690 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 6305362195 |
|---|---|
| Medicare Enrollment ID | O20250424001710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144003690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Karin Elizabeth Tiernan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922465798 PECOS PAC ID: 7113443904 Enrollment ID: I20250424001797 |
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