| Mackoul And Associates Inc | |
| 
					27 Driftwood Ln Harwich MA 02645-2914  | |
| (508) 375-0155 | |
| Not Available | 
| Full Name | Mackoul And Associates Inc | 
|---|---|
| Speciality | Counselor | 
| Location | 27 Driftwood Ln, Harwich, Massachusetts | 
| Authorized Official Name and Position | Garry Mackoul (PRESIDENT) | 
| Authorized Official Contact | 5083750155 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mackoul And Associates Inc 27 Driftwood Ln Harwich MA 02645-2914 Ph: (508) 375-0155  | Mackoul And Associates Inc 27 Driftwood Ln Harwich MA 02645-2914 Ph: (508) 375-0155  | 
| NPI Number | 1093587404 | 
|---|---|
| Provider Enumeration Date | 10/30/2023 | 
| Last Update Date | 10/30/2023 | 
| Certification Date | 10/28/2023 | 
| Medicare PECOS PAC ID | 5890233316 | 
|---|---|
| Medicare Enrollment ID | O20240815001793 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093587404 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Garry Mackoul | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1356426449 PECOS PAC ID: 1850832049 Enrollment ID: I20240916000111  | 
Pepin Therapeutics Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 728 Main St, Harwich, MA 02645 Phone: 508-737-9980 Fax: 508-433-1871  | |
Bright Steps Behavior Innovations Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Matthews Lndg, Harwich, MA 02645 Phone: 508-858-6332  |