| Open View Therapy, LLC | |
|
783 Elm St Unit 4 Laconia NH 03246-2370 | |
| (415) 971-9561 | |
| Not Available |
| Full Name | Open View Therapy, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 783 Elm St Unit 4, Laconia, New Hampshire |
| Authorized Official Name and Position | Michelle Anne Cutillo (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4159719561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open View Therapy, LLC 65 Saltmarsh Pond Rd Gilford NH 03249-7508 Ph: (415) 971-9561 | Open View Therapy, LLC 783 Elm St Unit 4 Laconia NH 03246-2370 Ph: (415) 971-9561 |
| NPI Number | 1316613524 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 4082011309 |
|---|---|
| Medicare Enrollment ID | O20210928003660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316613524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Michelle a Cutillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033478425 PECOS PAC ID: 9638428733 Enrollment ID: I20180823000222 |
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