| Mkm Holdings, Inc | |
|
501 Islington St Ste 2d Portsmouth NH 03801-5346 | |
| (760) 799-9719 | |
| Not Available |
| Full Name | Mkm Holdings, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 501 Islington St Ste 2d, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Kimberly Gass (OWNER) |
| Authorized Official Contact | 7607999719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkm Holdings, Inc 501 Islington St Ste 2d Portsmouth NH 03801-5346 Ph: (760) 799-9719 | Mkm Holdings, Inc 501 Islington St Ste 2d Portsmouth NH 03801-5346 Ph: (760) 799-9719 |
| NPI Number | 1124706791 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 5698211613 |
|---|---|
| Medicare Enrollment ID | O20240725002334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124706791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Dawna Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649548124 PECOS PAC ID: 4486004686 Enrollment ID: I20240131000737 |
| Provider Name | Kaitlyn Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528512159 PECOS PAC ID: 5991055634 Enrollment ID: I20240815000480 |
| Provider Name | Molly Partridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578043519 PECOS PAC ID: 3971044074 Enrollment ID: I20240917000838 |
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