Shannon Lee Costa, MS, LMHC | |
205 Burlington Rd, Bedford, MA 01730-1406 | |
(781) 761-5155 | |
Not Available |
Full Name | Shannon Lee Costa |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 205 Burlington Rd, Bedford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073169918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary |
Entity Name | Child And Family Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
Mailing Address | Practice Location Address |
---|---|
Shannon Lee Costa, MS, LMHC 205 Burlington Rd, Bedford, MA 01730-1406 Ph: (781) 761-5155 | Shannon Lee Costa, MS, LMHC 205 Burlington Rd, Bedford, MA 01730-1406 Ph: (781) 761-5155 |
Jillian Orr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-862-3600 | |
Kyle Patrick Gagen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5148 Fax: 781-275-7206 | |
Deirdre Roche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-826-3100 | |
Kayla Rose Haskin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 301-787-1295 | |
Melissa Jane Wentworth, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5209 | |
Basmah Elfaramawi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5089 |