| Partnership In Wellness, Llc | |
| 
					124 Harvard St Ste 4 Brookline MA 02446-6439  | |
| (617) 522-6611 | |
| Not Available | 
| Full Name | Partnership In Wellness, Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 124 Harvard St Ste 4, Brookline, Massachusetts | 
| Authorized Official Name and Position | Beth Ann Rontal (OWNER, PSYCHOTHERAPIST) | 
| Authorized Official Contact | 6175226611 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Partnership In Wellness, Llc 42 Southbourne Rd Jamaica Plain MA 02130-4633 Ph: (617) 522-6611  | Partnership In Wellness, Llc 124 Harvard St Ste 4 Brookline MA 02446-6439 Ph: (617) 522-6611  | 
| NPI Number | 1487367686 | 
|---|---|
| Provider Enumeration Date | 01/03/2023 | 
| Last Update Date | 03/06/2023 | 
| Certification Date | 03/06/2023 | 
| Medicare PECOS PAC ID | 0840664439 | 
|---|---|
| Medicare Enrollment ID | O20230322001148 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487367686 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Beth A Rontal | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1467699348 PECOS PAC ID: 3577619659 Enrollment ID: I20090914000809  | 
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