Eric Krawczyk, LMHC | |
10 Wendell Avenue Ext Ste 101, Pittsfield, MA 01201-6284 | |
(413) 591-9355 | |
(413) 429-4342 |
Full Name | Eric Krawczyk |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 10 Wendell Avenue Ext Ste 101, 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 |
---|---|---|---|
1255721494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 9076 (Massachusetts) | Primary |
Entity Name | Wild Wellness Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215799093 PECOS PAC ID: 1759724313 Enrollment ID: O20240617001212 |
Mailing Address | Practice Location Address |
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Eric Krawczyk, LMHC Po Box 107, West Stockbridge, MA 01266-0107 Ph: (413) 591-9355 | Eric Krawczyk, LMHC 10 Wendell Avenue Ext Ste 101, Pittsfield, MA 01201-6284 Ph: (413) 591-9355 |
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 |