| Ms Nicole Marie Boucher, LMHC | |
|
185 Main Street, Suite 22, Spencer, MA 01562 | |
| (508) 885-0788 | |
| (508) 885-1388 |
| Full Name | Ms Nicole Marie Boucher |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 185 Main Street, Spencer, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093854903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH000004698CC (Massachusetts) | Secondary |
| 101Y00000X | Counselor | 4698 (Massachusetts) | Primary |
| Entity Name | Reliant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicole Marie Boucher, LMHC 185 Main Street, Suite 22, Spencer, MA 01562 Ph: (508) 885-0788 | Ms Nicole Marie Boucher, LMHC 185 Main Street, Suite 22, Spencer, MA 01562 Ph: (508) 885-0788 |
Mr. Scott M Smith, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 Main St, Suite 5, Spencer, MA 01562 Phone: 508-885-5650 | |
Mrs. Melissa Jane Ayantola, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 185 Main Street, Spencer, MA 01562 Phone: 508-342-5029 Fax: 855-485-5375 | |
Ms. Paula M Courtney, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Main St, Spencer, MA 01562 Phone: 508-885-7685 Fax: 508-885-7685 | |
Mrs. Maureen Anne Valois, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 369 Main St, Spencer, MA 01562 Phone: 508-885-0788 Fax: 508-885-1388 | |
Anthony Lawrence Vigeant, M.A., CAGS Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 School St, Spencer, MA 01562 Phone: 774-272-2319 | |
Mrs. Carrie Michele Cashman, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Deer Run Rd, Spencer, MA 01562 Phone: 508-885-9778 |