Wanderlust Therapeutic Services, Pllc | |
71 Spit Brook Rd Ste 407 Nashua NH 03060-5636 | |
(978) 728-2388 | |
(603) 589-4981 |
Full Name | Wanderlust Therapeutic Services, Pllc |
---|---|
Speciality | Social Worker |
Location | 71 Spit Brook Rd Ste 407, Nashua, New Hampshire |
Authorized Official Name and Position | Melbourne Richard Moran (PROPRIETOR) |
Authorized Official Contact | 9784830182 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wanderlust Therapeutic Services, Pllc 71 Spit Brook Rd Ste 407 Nashua NH 03060-5636 Ph: (978) 483-0182 | Wanderlust Therapeutic Services, Pllc 71 Spit Brook Rd Ste 407 Nashua NH 03060-5636 Ph: (978) 728-2388 |
NPI Number | 1225659600 |
---|---|
Provider Enumeration Date | 04/27/2020 |
Last Update Date | 01/20/2021 |
Certification Date | 01/20/2021 |
Medicare PECOS PAC ID | 7012322753 |
---|---|
Medicare Enrollment ID | O20210210002846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225659600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Melbourne Richard Moran |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871997379 PECOS PAC ID: 5698044618 Enrollment ID: I20190225002895 |
Provider Name | Destiny Anne Perez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649620642 PECOS PAC ID: 6204283740 Enrollment ID: I20231106002536 |
Provider Name | David Hutchings |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417445354 PECOS PAC ID: 0941651830 Enrollment ID: I20240104002376 |
Provider Name | Clifford Bibeau |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508217340 PECOS PAC ID: 4082057138 Enrollment ID: I20240206003324 |
Provider Name | Yvonne Hole |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750560603 PECOS PAC ID: 0446693386 Enrollment ID: I20240208000807 |
The Youth Council Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Northeastern Blvd Ste 10a, Nashua, NH 03062 Phone: 603-889-1090 Fax: 603-598-1703 | |
Meghan Slaalien Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Broad St Ste 1511, Nashua, NH 03063 Phone: 603-557-5551 | |
Health & Education Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Lake St, Nashua, NH 03060 Phone: 978-620-1773 | |
Cheryl A Carroll Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3b Taggart Dr, Nashua, NH 03060 Phone: 978-496-9276 | |
Gray Area, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 W Hollis St Ste 210, Nashua, NH 03062 Phone: 802-490-3916 | |
Family Counseling Associates Of New Hampshire Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Tara Blvd Ste 200, Nashua, NH 03062 Phone: 603-242-2296 | |
Ann M Rubinstein Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Broad St, Suite 1535, Nashua, NH 03063 Phone: 603-546-0297 |