| Wellness Pathway Counseling Services, Llc | |
|
99 Derby St Ste 200 Hingham MA 02043-4216 | |
| (508) 635-5598 | |
| Not Available |
| Full Name | Wellness Pathway Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 99 Derby St Ste 200, Hingham, Massachusetts |
| Authorized Official Name and Position | Gedeon Brezil (CEO) |
| Authorized Official Contact | 5086355598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Pathway Counseling Services, Llc Po Box 573 East Bridgewater MA 02333-0573 Ph: (508) 635-5598 | Wellness Pathway Counseling Services, Llc 99 Derby St Ste 200 Hingham MA 02043-4216 Ph: (508) 635-5598 |
| NPI Number | 1396471942 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Medicare PECOS PAC ID | 1951775154 |
|---|---|
| Medicare Enrollment ID | O20230329000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396471942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gedeon Brezil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306395405 PECOS PAC ID: 4587903323 Enrollment ID: I20190222000440 |
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