| Oria Llc | |
|
76 W Main St Ste 105 Hyannis MA 02601-3752 | |
| (508) 534-8709 | |
| Not Available |
| Full Name | Oria Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 76 W Main St Ste 105, Hyannis, Massachusetts |
| Authorized Official Name and Position | Michaela Eliza Brown (OWNER) |
| Authorized Official Contact | 7744878295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oria Llc Po Box 493 West Hyannisport MA 02672-0493 Ph: (774) 487-8295 | Oria Llc 76 W Main St Ste 105 Hyannis MA 02601-3752 Ph: (508) 534-8709 |
| NPI Number | 1841825320 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Medicare PECOS PAC ID | 0042685380 |
|---|---|
| Medicare Enrollment ID | O20230419000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841825320 | NPI | - | NPPES |
| 1790203834 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Katrina Mary Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659864890 PECOS PAC ID: 1254757354 Enrollment ID: I20200820000271 |
| Provider Name | Nathan Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952772147 PECOS PAC ID: 8527442359 Enrollment ID: I20220829001613 |
| Provider Name | Michaela Eliza Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790203834 PECOS PAC ID: 1951776293 Enrollment ID: I20240110004502 |
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