Eneida Qirko, | |
71 Cranbrook Dr, Holden, MA 01520-1474 | |
(774) 207-8207 | |
Not Available |
Full Name | Eneida Qirko |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 71 Cranbrook Dr, Holden, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003124520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | The Bridge Of Central Massachusetts Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740657527 PECOS PAC ID: 1658694393 Enrollment ID: O20150105000027 |
Mailing Address | Practice Location Address |
---|---|
Eneida Qirko, 71 Cranbrook Dr, Holden, MA 01520-1474 Ph: (774) 207-8207 | Eneida Qirko, 71 Cranbrook Dr, Holden, MA 01520-1474 Ph: (774) 207-8207 |
Ms. Emma L. Dauphinais, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Mark Cir, Holden, MA 01520 Phone: 508-340-3465 | |
Elizabeth Jayne Scott, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Holden, MA 01520 Phone: 508-797-7110 Fax: 774-345-4610 | |
Mrs. Kerry Carter Bergeron, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Maple Street, Holden, MA 01520 Phone: 508-479-9151 | |
Jennifer Cummings, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 Flagler Dr, Holden, MA 01520 Phone: 508-868-2400 | |
Marissa Lyn Garrity, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Holden, MA 01520 Phone: 508-797-7110 | |
Mr. Adam Sherblom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 Reservoir St, Holden, MA 01520 Phone: 508-579-0895 |