| Amber Moon Wellness, Pllc | |
|
426 State St Portsmouth NH 03801-4049 | |
| (707) 654-4325 | |
| (630) 883-0690 |
| Full Name | Amber Moon Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 426 State St, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Kathleen Amanda Waleryszak (OWNER) |
| Authorized Official Contact | 7076544325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Moon Wellness, Pllc 8a Ridgewood Dr Kittery ME 03904-1046 Ph: (207) 337-0456 | Amber Moon Wellness, Pllc 426 State St Portsmouth NH 03801-4049 Ph: (707) 654-4325 |
| NPI Number | 1689329112 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Medicare PECOS PAC ID | 8820482482 |
|---|---|
| Medicare Enrollment ID | O20220224000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689329112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathleen Amanda Waleryszak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821647470 PECOS PAC ID: 1052714763 Enrollment ID: I20210719002181 |
Seacoast Mental Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-433-5078 | |
Portsmouth Regional Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 603-436-5110 Fax: 603-433-5245 | |
Optimal Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Commerce Way, Portsmouth, NH 03801 Phone: 866-503-8231 | |
Monique S. Montigny, Licsw, Ladc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 The Hill, High Street, Portsmouth, NH 03801 Phone: 603-834-4511 | |
Seaport Support Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Islington St, Portsmouth, NH 03801 Phone: 603-387-2256 | |
Jennifer Golia Lmft Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Islington St, Portsmouth, NH 03801 Phone: 603-953-3386 Fax: 603-953-3386 | |
Mkm Holdings, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Islington St Ste 2d, Portsmouth, NH 03801 Phone: 760-799-9719 |