| A Bucket For The Well Llc. | |
|
100 Warren St Ste 1a Roxbury MA 02119-3259 | |
| (802) 365-1512 | |
| Not Available |
| Full Name | A Bucket For The Well Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Warren St Ste 1a, Roxbury, Massachusetts |
| Authorized Official Name and Position | Stefanie Belnavis (OWNER/MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 8023651512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Bucket For The Well Llc. 82 Wendell Ave Ste 100 Pittsfield MA 01201-7066 Ph: (802) 365-1512 | A Bucket For The Well Llc. 100 Warren St Ste 1a Roxbury MA 02119-3259 Ph: (802) 365-1512 |
| NPI Number | 1427661511 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427661511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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