| Alliance Mental Health And Youth Consultation Services Llc | |
|
1 Washington St Ste 318 Dover NH 03820 | |
| (603) 229-9165 | |
| Not Available |
| Full Name | Alliance Mental Health And Youth Consultation Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1 Washington St Ste 318, Dover, New Hampshire |
| Authorized Official Name and Position | James Carleton Francis Marston (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6032299165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Mental Health And Youth Consultation Services Llc Po Box 1592 Raymond NH 03077-3592 Ph: () - | Alliance Mental Health And Youth Consultation Services Llc 1 Washington St Ste 318 Dover NH 03820 Ph: (603) 229-9165 |
| NPI Number | 1588048854 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 06/04/2018 |
| Medicare PECOS PAC ID | 2163856949 |
|---|---|
| Medicare Enrollment ID | O20200103000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588048854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1006 (New Hampshire) | Primary |
| Provider Name | Adrienne L Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487775441 PECOS PAC ID: 0244457588 Enrollment ID: I20140811002105 |
| Provider Name | Sean P Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497312805 PECOS PAC ID: 4082086806 Enrollment ID: I20230203001980 |
| Provider Name | Kimberly A. Godfrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619040334 PECOS PAC ID: 2961844691 Enrollment ID: I20240528001307 |
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