Zoe Larsen, | |
125 Hartwell Ave, Lexington, MA 02421-3100 | |
(781) 861-0890 | |
Not Available |
Full Name | Zoe Larsen |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 125 Hartwell Ave, Lexington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679044820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Bridgewell, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033262860 PECOS PAC ID: 6507833985 Enrollment ID: O20041227000515 |
Mailing Address | Practice Location Address |
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Zoe Larsen, 125 Hartwell Ave, Lexington, MA 02421-3100 Ph: (781) 861-0890 | Zoe Larsen, 125 Hartwell Ave, Lexington, MA 02421-3100 Ph: (781) 861-0890 |
Ms. Magi Mckinnies, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Fletcher Ave, Lexington, MA 02420 Phone: 781-860-0620 | |
Denise Moyo, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1040 Waltham St, Lexington, MA 02421 Phone: 781-761-5165 | |
Michael Levi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Waltham St, Lexington, MA 02421 Phone: 339-707-0232 | |
Mr. Kyle Combs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1040 Waltham St, Lexington, MA 02421 Phone: 774-262-2868 | |
Angeliki Constantine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 | |
Emma Clay, RN Counselor Medicare: Medicare Enrolled Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 Fax: 781-592-0581 | |
Kate Mcgrath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 |