| This Space Between | |
|
75 S Church St Ste 22 Pittsfield MA 01201-6128 | |
| (727) 223-1303 | |
| Not Available |
| Full Name | This Space Between |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 75 S Church St Ste 22, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Rebecca Waite (OWNER/THERAPIST) |
| Authorized Official Contact | 7272231303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| This Space Between Po Box 363 Westfield MA 01086-0363 Ph: (727) 223-1303 | This Space Between 75 S Church St Ste 22 Pittsfield MA 01201-6128 Ph: (727) 223-1303 |
| NPI Number | 1093301145 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093301145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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