| Shanna Townley Lmhc Llc | |
|
260 Washington St Fl 1 Pembroke MA 02359-1805 | |
| (617) 807-0021 | |
| Not Available |
| Full Name | Shanna Townley Lmhc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 260 Washington St Fl 1, Pembroke, Massachusetts |
| Authorized Official Name and Position | Shanna A Townley (OWNER) |
| Authorized Official Contact | 6178070021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Townley Lmhc Llc Po Box 84 Pembroke MA 02359-0084 Ph: (617) 807-0021 | Shanna Townley Lmhc Llc 260 Washington St Fl 1 Pembroke MA 02359-1805 Ph: (617) 807-0021 |
| NPI Number | 1447836275 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 9133563588 |
|---|---|
| Medicare Enrollment ID | O20240214000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447836275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shanna Ann Townley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952838559 PECOS PAC ID: 3779927124 Enrollment ID: I20240214000822 |
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