| Towerlight Health And Wellness, Llc | |
|
13 Steeple St Ste 202-37 Mashpee MA 02649-3287 | |
| (508) 375-7936 | |
| Not Available |
| Full Name | Towerlight Health And Wellness, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13 Steeple St Ste 202-37, Mashpee, Massachusetts |
| Authorized Official Name and Position | Oshetisi Stanney (OWNER) |
| Authorized Official Contact | 5083757936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Towerlight Health And Wellness, Llc 13 Steeple St Ste 202-37 Mashpee MA 02649-3287 Ph: (508) 375-7936 | Towerlight Health And Wellness, Llc 13 Steeple St Ste 202-37 Mashpee MA 02649-3287 Ph: (508) 375-7936 |
| NPI Number | 1477278091 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 2860869500 |
|---|---|
| Medicare Enrollment ID | O20221109000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477278091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Oshetisi Jamillah Stanney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003563511 PECOS PAC ID: 3779950415 Enrollment ID: I20221109000863 |
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