| Vineyard Psychotherapy, Llc | |
|
15 Church St Vineyard Haven MA 02568-5483 | |
| (508) 687-0085 | |
| Not Available |
| Full Name | Vineyard Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15 Church St, Vineyard Haven, Massachusetts |
| Authorized Official Name and Position | Elisabeth Nannes (LMHC) |
| Authorized Official Contact | 5086870085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Psychotherapy, Llc 4 Wood Chips Cir Vineyard Haven MA 02568-5334 Ph: (508) 687-0085 | Vineyard Psychotherapy, Llc 15 Church St Vineyard Haven MA 02568-5483 Ph: (508) 687-0085 |
| NPI Number | 1366075434 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366075434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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