Tara Burgess, | |
357 Nashawtuc Rd, Concord, MA 01742-1616 | |
(339) 201-1765 | |
Not Available |
Full Name | Tara Burgess |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 357 Nashawtuc Rd, Concord, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487263281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Youth Opportunities Upheld Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469 |
Mailing Address | Practice Location Address |
---|---|
Tara Burgess, 357 Nashawtuc Rd, Concord, MA 01742-1616 Ph: (339) 201-1765 | Tara Burgess, 357 Nashawtuc Rd, Concord, MA 01742-1616 Ph: (339) 201-1765 |
Judith Glixon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Mr. Jeff C Desjarlais, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Main St, Concord, MA 01742 Phone: 978-402-2336 | |
Constance Dimarino, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 | |
Mr. Christopher Hardiman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Nicole Sheehan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Avenue Ext Ste 100, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Kristen Kenney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Partridge Ln, Concord, MA 01742 Phone: 617-763-7200 | |
Gabrielle Kosta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Avenue Ext Ste 100, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 |