| Renewed Mind Body & Spirit Counseling Llc | |
|
99 Old Poor Farm Rd Ware MA 01082-9780 | |
| (413) 335-5361 | |
| Not Available |
| Full Name | Renewed Mind Body & Spirit Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 99 Old Poor Farm Rd, Ware, Massachusetts |
| Authorized Official Name and Position | Michelle Auclair (OWNER) |
| Authorized Official Contact | 4133355361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Mind Body & Spirit Counseling Llc 99 Old Poor Farm Rd Ware MA 01082-9780 Ph: (413) 335-5361 | Renewed Mind Body & Spirit Counseling Llc 99 Old Poor Farm Rd Ware MA 01082-9780 Ph: (413) 335-5361 |
| NPI Number | 1376255869 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 2769926617 |
|---|---|
| Medicare Enrollment ID | O20240702002403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376255869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ronald Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275914954 PECOS PAC ID: 8022552843 Enrollment ID: I20240703000550 |
Weise Counseling Collaborate Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 E Main St, Suite 201, Ware, MA 01082 Phone: 508-397-9042 |