| Northeast Therapy & Wellness Llc | |
|
62 Homestead Ave Indian Orchard MA 01151-1810 | |
| (203) 606-9083 | |
| Not Available |
| Full Name | Northeast Therapy & Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 62 Homestead Ave, Indian Orchard, Massachusetts |
| Authorized Official Name and Position | Anna O'donnell-bearce (OWNER) |
| Authorized Official Contact | 2036069082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Therapy & Wellness Llc 62 Homestead Ave Indian Orchard MA 01151-1810 Ph: (203) 606-9082 | Northeast Therapy & Wellness Llc 62 Homestead Ave Indian Orchard MA 01151-1810 Ph: (203) 606-9083 |
| NPI Number | 1619780384 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Medicare PECOS PAC ID | 2365951605 |
|---|---|
| Medicare Enrollment ID | O20250529003783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619780384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anna Elizabeth O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891330478 PECOS PAC ID: 4587099098 Enrollment ID: I20200110000434 |
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