| Mcmanus Counseling Pc | |
|
191 City Depot Rd # 102 Charlton MA 01507-5445 | |
| (508) 450-2296 | |
| Not Available |
| Full Name | Mcmanus Counseling Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 191 City Depot Rd # 102, Charlton, Massachusetts |
| Authorized Official Name and Position | Michael James Mcmanus (PRESIDENT) |
| Authorized Official Contact | 5084502296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmanus Counseling Pc 191 City Depot Rd # 102 Charlton MA 01507-5445 Ph: (508) 450-2296 | Mcmanus Counseling Pc 191 City Depot Rd # 102 Charlton MA 01507-5445 Ph: (508) 450-2296 |
| NPI Number | 1982951059 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 8820249337 |
|---|---|
| Medicare Enrollment ID | O20121109000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982951059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 114449 (Massachusetts) | Primary |
| Provider Name | Michael J Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568618411 PECOS PAC ID: 6800942285 Enrollment ID: I20090928000142 |
| Provider Name | John Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740666510 PECOS PAC ID: 7517275571 Enrollment ID: I20150924003288 |
| Provider Name | Vanessa Muscente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215368980 PECOS PAC ID: 8022446186 Enrollment ID: I20200324000909 |
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