| Time For A Change Wellness | |
|
237 Hedding Rd Epping NH 03042-1525 | |
| (603) 815-2327 | |
| Not Available |
| Full Name | Time For A Change Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 237 Hedding Rd, Epping, New Hampshire |
| Authorized Official Name and Position | Timisha Malone (OWNER) |
| Authorized Official Contact | 6038152327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Time For A Change Wellness 237 Hedding Rd Epping NH 03042-1525 Ph: (603) 815-2327 | Time For A Change Wellness 237 Hedding Rd Epping NH 03042-1525 Ph: (603) 815-2327 |
| NPI Number | 1508592577 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Medicare PECOS PAC ID | 6709261159 |
|---|---|
| Medicare Enrollment ID | O20220921000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508592577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timisha Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801307178 PECOS PAC ID: 7517342967 Enrollment ID: I20220921000902 |
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