| Nek Therapeutic And Educational Services Llc | |
|
301 Pearl Street, Suite 101 St. Johnsbury VT 05819 | |
| (802) 731-1954 | |
| Not Available |
| Full Name | Nek Therapeutic And Educational Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Pearl Street, Suite 101, St. Johnsbury, Vermont |
| Authorized Official Name and Position | Amanda Rose Addeo (OWNER OPERATOR) |
| Authorized Official Contact | 8027311954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nek Therapeutic And Educational Services Llc 301 Pearl Street, Suite 101 St. Johnsbury VT 05819 Ph: (802) 731-1954 | Nek Therapeutic And Educational Services Llc 301 Pearl Street, Suite 101 St. Johnsbury VT 05819 Ph: (802) 731-1954 |
| NPI Number | 1851137947 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Medicare PECOS PAC ID | 9436673290 |
|---|---|
| Medicare Enrollment ID | O20250414002268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851137947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amanda Rose Addeo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558107631 PECOS PAC ID: 0345764106 Enrollment ID: I20250414002348 |
Kingdom Autism And Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 Phone: 802-999-2513 |