| Southeast Counseling Services Llc | |
| 
					1029 Pleasant St Ste 101 Bridgewater MA 02324-2473  | |
| (339) 236-1309 | |
| Not Available | 
| Full Name | Southeast Counseling Services Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1029 Pleasant St Ste 101, Bridgewater, Massachusetts | 
| Authorized Official Name and Position | Susan Margaret Ramondetta (SOLE MEMBER) | 
| Authorized Official Contact | 5086971070 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southeast Counseling Services Llc 1029 Pleasant St Ste 101 Bridgewater MA 02324-2473 Ph: (339) 236-1309  | Southeast Counseling Services Llc 1029 Pleasant St Ste 101 Bridgewater MA 02324-2473 Ph: (339) 236-1309  | 
| NPI Number | 1396025938 | 
|---|---|
| Provider Enumeration Date | 08/26/2011 | 
| Last Update Date | 08/04/2022 | 
| Certification Date | 08/04/2022 | 
| Medicare PECOS PAC ID | 6103084983 | 
|---|---|
| Medicare Enrollment ID | O20120224000484 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396025938 | NPI | - | NPPES | 
| Provider Name | Susan M Ramondetta | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1912201542 PECOS PAC ID: 3577749373 Enrollment ID: I20110512000012  | 
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