| Turning Tides Mental Health Llc | |
|
21 Battle Row East Taunton MA 02718-1039 | |
| (508) 858-6846 | |
| Not Available |
| Full Name | Turning Tides Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 Battle Row, East Taunton, Massachusetts |
| Authorized Official Name and Position | Catherine Rogers (OWNER) |
| Authorized Official Contact | 5088586846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turning Tides Mental Health Llc Po Box 524 East Taunton MA 02718-0524 Ph: (508) 858-6846 | Turning Tides Mental Health Llc 21 Battle Row East Taunton MA 02718-1039 Ph: (508) 858-6846 |
| NPI Number | 1215659693 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 8729427844 |
|---|---|
| Medicare Enrollment ID | O20240422001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215659693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Catherine Joan Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477224020 PECOS PAC ID: 0749665628 Enrollment ID: I20220913001758 |
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