Emma Taylor Poore, | |
788 South St, Pittsfield, MA 01201-8237 | |
(413) 236-5656 | |
Not Available |
Full Name | Emma Taylor Poore |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 788 South St, Pittsfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396286654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Clinical & Support Options, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491 |
Mailing Address | Practice Location Address |
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Emma Taylor Poore, 213 New Lenox Rd, Lenox, MA 01240-2223 Ph: (413) 329-9262 | Emma Taylor Poore, 788 South St, Pittsfield, MA 01201-8237 Ph: (413) 236-5656 |
Eileeen Morrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Jill Marion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Ms. Pamela Bucklin Burger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 Eagle St, First Floor, Pittsfield, MA 01201 Phone: 413-236-5656 Fax: 413-499-6572 | |
Daniel Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1251 Fax: 413-448-2198 | |
Theresa Whitney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Helen Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 Wendell Ave Ste 100, Pittsfield, MA 01201 Phone: 617-410-6494 | |
Quintin Sumpter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 |