Ira Gooch, MA | |
181 Union St, Suite J, Lynn, MA 01901-1311 | |
(781) 244-1950 | |
Not Available |
Full Name | Ira Gooch |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 181 Union St, Lynn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942611942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
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Ira Gooch, MA 25 Williams St, Malden, MA 02148-1839 Ph: (207) 939-3030 | Ira Gooch, MA 181 Union St, Suite J, Lynn, MA 01901-1311 Ph: (781) 244-1950 |
Mr. Daniel Bistransin, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 95 Pleasant St, Lynn, MA 19102 Phone: 781-596-9222 | |
Ms. Carmen N. Amador, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Market St, Lynn, MA 01901 Phone: 781-715-5857 | |
Emily Rennard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Market St, Lynn, MA 01901 Phone: 781-691-7665 | |
Kristen Congelosi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Circle Ave, Lynn, MA 01905 Phone: 978-675-7801 | |
Tyla Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Pleasant St, Lynn, MA 01901 Phone: 781-715-2302 | |
Sarah Elizabeth Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Pleasant St, Lynn, MA 01901 Phone: 781-581-4444 | |
Carolyna Mercado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Union St, Suite J, Lynn, MA 01901 Phone: 781-244-1950 |