| Rhina R Houston Licsw Llc | |
|
599 Canal St Ste 3 Lawrence MA 01840-1244 | |
| (978) 487-5390 | |
| (978) 226-4882 |
| Full Name | Rhina R Houston Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 599 Canal St Ste 3, Lawrence, Massachusetts |
| Authorized Official Name and Position | Rhina R Houston (LICSW) |
| Authorized Official Contact | 9784875390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhina R Houston Licsw Llc 599 Canal St Ste 3 Lawrence MA 01840-1244 Ph: (978) 487-5390 | Rhina R Houston Licsw Llc 599 Canal St Ste 3 Lawrence MA 01840-1244 Ph: (978) 487-5390 |
| NPI Number | 1699457507 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Medicare PECOS PAC ID | 1850829896 |
|---|---|
| Medicare Enrollment ID | O20250103002759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699457507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rhina R Houston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679030159 PECOS PAC ID: 5698171569 Enrollment ID: I20210901002814 |
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