| Optimal Health: A Mind And Body Wellness Center, Llc | |
|
10 N Main St Fl 2 Fall River MA 02720-2130 | |
| (508) 679-9900 | |
| Not Available |
| Full Name | Optimal Health: A Mind And Body Wellness Center, Llc |
|---|---|
| Speciality | Naturopath |
| Location | 10 N Main St Fl 2, Fall River, Massachusetts |
| Authorized Official Name and Position | Elizabeth Gomes (OWNER) |
| Authorized Official Contact | 5082459415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health: A Mind And Body Wellness Center, Llc 10 N Main St Fl 2 Fall River MA 02720-2130 Ph: (508) 679-9900 | Optimal Health: A Mind And Body Wellness Center, Llc 10 N Main St Fl 2 Fall River MA 02720-2130 Ph: (508) 679-9900 |
| NPI Number | 1174006597 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 6103350681 |
|---|---|
| Medicare Enrollment ID | O20241106001234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174006597 | NPI | - | NPPES |
| 1992053862 | Other | NPI | |
| 1417125717 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Casavant-chaves |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942505169 PECOS PAC ID: 5991980278 Enrollment ID: I20110502000324 |
| Provider Name | James Gomes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992053862 PECOS PAC ID: 2961654843 Enrollment ID: I20121129000335 |
| Provider Name | Elizabeth L Gomes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417125717 PECOS PAC ID: 2961935564 Enrollment ID: I20241104000846 |
| Provider Name | Nicole St Louis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881729655 PECOS PAC ID: 0446770382 Enrollment ID: I20250224000651 |
| Provider Name | Rita Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841418464 PECOS PAC ID: 1557335676 Enrollment ID: I20250225000578 |
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