Mark Stanley Medina, | |
179 Northampton St, Easthampton, MA 01027-1057 | |
(413) 588-5555 | |
Not Available |
Full Name | Mark Stanley Medina |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 179 Northampton St, Easthampton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972025906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20110725000191 |
Mailing Address | Practice Location Address |
---|---|
Mark Stanley Medina, 12 Carol St, Ludlow, MA 01056-2110 Ph: (413) 531-8907 | Mark Stanley Medina, 179 Northampton St, Easthampton, MA 01027-1057 Ph: (413) 588-5555 |
Ana Dolores Feliciano, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Pleasant St Apt C, Easthampton, MA 01027 Phone: 413-667-7075 | |
Dionna Armitage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 East St, Easthampton, MA 01027 Phone: 413-529-7777 | |
Candace Tenczar, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 123 Union St Ste 101, Easthampton, MA 01027 Phone: 413-531-9409 Fax: 413-369-6083 | |
Kate Marie Hatheway, Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Union St, Easthampton, MA 01027 Phone: 413-529-1764 | |
Mrs. Lynnette J Bednaz, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 East St, Easthampton, MA 01027 Phone: 413-313-5914 | |
Maxine Alicea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Everett St, Easthampton, MA 01027 Phone: 413-207-7508 | |
Julia Burton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 East St, Easthampton, MA 01027 Phone: 413-529-7777 |