Ms Michelle Beth Supple, LMHC | |
200 East Main St, Milford, MA 01757 | |
(508) 634-1877 | |
(508) 634-1878 |
Full Name | Ms Michelle Beth Supple |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 200 East Main St, Milford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992804421 | NPI | - | NPPES |
2220002001 | Other | MA | BCBS MA SA |
1308785 | Other | MA | MCD MH |
M18684 | Other | BCBS MH | |
1306421 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6080 (Massachusetts) | Primary |
Entity Name | Spectrum Health Systems, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346430253 PECOS PAC ID: 8224017082 Enrollment ID: O20040715000611 |
Mailing Address | Practice Location Address |
---|---|
Ms Michelle Beth Supple, LMHC 200 East Main St, Milford, MA 01757 Ph: (508) 634-1877 | Ms Michelle Beth Supple, LMHC 200 East Main St, Milford, MA 01757 Ph: (508) 634-1877 |
Mark P. Collett, LADC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 Main St, Milford, MA 01757 Phone: 508-485-3541 | |
Elaine Pappalardo, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Hamilton Ave, Milford, MA 01757 Phone: 508-422-8818 | |
Pamela Atem, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Asylum St, Milford, MA 01757 Phone: 508-478-6888 Fax: 508-478-9042 | |
Allison Jean Glasier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 176 West St, Milford, MA 01757 Phone: 508-529-7000 | |
Mr. Daniel Charles Cicconi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Eugene Cir, Milford, MA 01757 Phone: 508-879-3230 | |
Geri Sue Leporati, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 E Main St Ste 200, Milford, MA 01757 Phone: 508-478-0207 Fax: 508-634-6984 | |
Ms. Lisa Jean Antonio, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 176 West St, Milford, MA 01757 Phone: 508-634-3420 |