Mikayla Mcclellan, | |
50 Tower Office Park, Woburn, MA 01801-2113 | |
(339) 345-2359 | |
Not Available |
Full Name | Mikayla Mcclellan |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 50 Tower Office Park, Woburn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609410836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMHC10000750 (Massachusetts) | Primary |
Entity Name | Boston Neurobehavioral Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558415307 PECOS PAC ID: 9436142429 Enrollment ID: O20120926000381 |
Mailing Address | Practice Location Address |
---|---|
Mikayla Mcclellan, 50 Tower Office Park, Woburn, MA 01801-2113 Ph: (339) 345-2359 | Mikayla Mcclellan, 50 Tower Office Park, Woburn, MA 01801-2113 Ph: (339) 345-2359 |
Nicole P Coburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Tower Office Park, Woburn, MA 01801 Phone: 781-933-0700 | |
Mr. Bryan Smith, M.A., L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Canterbury Rd, Woburn, MA 01801 Phone: 973-713-9217 | |
Ashley Campasano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Forbes Rd, Woburn, MA 01801 Phone: 781-838-6968 | |
Michelle Manatrey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10i Roessler Rd, Woburn, MA 01801 Phone: 781-932-8114 | |
Ms. Cayla Emily Hally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10i Roessler Rd, Woburn, MA 01801 Phone: 781-932-8114 | |
Patrick Cullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10i Roessler Rd, Woburn, MA 01801 Phone: 781-932-8114 | |
Nathaniel Deknatel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 W Cummings Park, Woburn, MA 01801 Phone: 781-932-0970 |