| Wevolve Behavioral Health Services Pllc | |
|
96 Worcester St New Bedford MA 02745-1006 | |
| (617) 869-7162 | |
| Not Available |
| Full Name | Wevolve Behavioral Health Services Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 96 Worcester St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Wedline Rho (NURSE PRACTITIONER) |
| Authorized Official Contact | 6178697162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wevolve Behavioral Health Services Pllc 96 Worcester St New Bedford MA 02745-1006 Ph: (617) 869-7162 | Wevolve Behavioral Health Services Pllc 96 Worcester St New Bedford MA 02745-1006 Ph: (617) 869-7162 |
| NPI Number | 1063276574 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Medicare PECOS PAC ID | 0749718369 |
|---|---|
| Medicare Enrollment ID | O20250110000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063276574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Wedline Rho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528837127 PECOS PAC ID: 8820324619 Enrollment ID: I20240130000930 |
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