| Learnwell Behavioral Health Llc | |
|
2a Main Street Plymouth MA 02360 | |
| (508) 562-2477 | |
| Not Available |
| Full Name | Learnwell Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2a Main Street, Plymouth, Massachusetts |
| Authorized Official Name and Position | Kathleen Egger (CEO) |
| Authorized Official Contact | 5085622477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Learnwell Behavioral Health Llc 2a Main Street Plymouth MA 02360 Ph: () - | Learnwell Behavioral Health Llc 2a Main Street Plymouth MA 02360 Ph: (508) 562-2477 |
| NPI Number | 1265134001 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Medicare PECOS PAC ID | 7416397161 |
|---|---|
| Medicare Enrollment ID | O20240429003436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265134001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Irina V Angel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023058419 PECOS PAC ID: 6507829777 Enrollment ID: I20041109000266 |
| Provider Name | Susane A. Dickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194804054 PECOS PAC ID: 4385796002 Enrollment ID: I20190417000656 |
| Provider Name | Patricia Travaglione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053555631 PECOS PAC ID: 1052705514 Enrollment ID: I20250219001027 |
| Provider Name | Hayley Melissa Schiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952907370 PECOS PAC ID: 5991230997 Enrollment ID: I20250310001028 |
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