| Mind & Bodhi Pc | |
|
70 Case Ave # 1 Seekonk MA 02771-4156 | |
| (774) 901-4800 | |
| Not Available |
| Full Name | Mind & Bodhi Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 70 Case Ave # 1, Seekonk, Massachusetts |
| Authorized Official Name and Position | Jere N Cabral (LICSW, OWNER) |
| Authorized Official Contact | 5085582656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind & Bodhi Pc 132 Baker Rd Swansea MA 02777-5002 Ph: (508) 558-2656 | Mind & Bodhi Pc 70 Case Ave # 1 Seekonk MA 02771-4156 Ph: (774) 901-4800 |
| NPI Number | 1275309817 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/25/2023 |
| Medicare PECOS PAC ID | 5799128054 |
|---|---|
| Medicare Enrollment ID | O20240205000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275309817 | NPI | - | NPPES |
| Provider Name | Jere Nichole Cabral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073011664 PECOS PAC ID: 6608219969 Enrollment ID: I20240205000648 |
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