George D Affonso, LADC I, CADC | |
60 Cherry St, Plymouth, MA 02360-4466 | |
(508) 746-6654 | |
(508) 746-2433 |
Full Name | George D Affonso |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 60 Cherry St, Plymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013655232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16860 (Massachusetts) | Primary |
Entity Name | Total Wellness Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770816506 PECOS PAC ID: 2860536919 Enrollment ID: O20100628000153 |
Mailing Address | Practice Location Address |
---|---|
George D Affonso, LADC I, CADC 11a Standish Ave, Plymouth, MA 02360-4145 Ph: (501) 626-8050 | George D Affonso, LADC I, CADC 60 Cherry St, Plymouth, MA 02360-4466 Ph: (508) 746-6654 |
Paul D'espinoza, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 39a Industrial Park Rd, Plymouth, MA 02360 Phone: 508-830-1444 Fax: 508-830-3655 | |
Sarah A Benton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Main Street Ext, Suite 103, Plymouth, MA 02360 Phone: 508-830-0012 Fax: 508-830-0092 | |
Ms. Barbara Ann Capaldo, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Industrial Park Rd, South Bay Mental Health Center, Plymouth, MA 02360 Phone: 508-830-0000 Fax: 508-746-8429 | |
Kelly Marie Williams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Long Pond Rd, Plymouth, MA 02360 Phone: 508-747-7783 Fax: 508-747-7838 | |
Tiffanie Foster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Industrial Park Rd, Plymouth, MA 02360 Phone: 774-628-1000 | |
Emily Huffman Kelly, BA, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Industrial Park Rd, Bayview Associates, Plymouth, MA 02360 Phone: 508-830-1630 |