Mr Tristram Heyward Dashti-gibson, LCMHC | |
539 Islington St Ste 4, Portsmouth, NH 03801-4471 | |
(603) 689-7890 | |
(603) 883-0007 |
Full Name | Mr Tristram Heyward Dashti-gibson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 539 Islington St Ste 4, Portsmouth, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588729990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC3922 (Maine) | Secondary |
101YM0800X | Counselor - Mental Health | 993 (New Hampshire) | Primary |
Entity Name | The Counseling Center Of Nashua Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20040929000288 |
Mailing Address | Practice Location Address |
---|---|
Mr Tristram Heyward Dashti-gibson, LCMHC 539 Islington St Ste 4, Portsmouth, NH 03801-4471 Ph: (603) 689-7890 | Mr Tristram Heyward Dashti-gibson, LCMHC 539 Islington St Ste 4, Portsmouth, NH 03801-4471 Ph: (603) 689-7890 |
Heath Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Joshua Steele Hagar, MS, LCPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Middle St, Portsmouth, NH 03801 Phone: 978-846-7144 | |
Rachel Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 | |
Abigail Gerbino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Ms. Dana Patrice Peters, M.ED., M.L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Islington St, Portsmouth, NH 03801 Phone: 603-427-6858 Fax: 603-427-6555 | |
Kelly Lucinda Lee, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 Greenland Rd, Portsmouth, NH 03801 Phone: 603-717-6488 | |
Melissa Mari, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 |