| Amy Burke Llc | |
|
79 Finlay Rd Ste C Orleans MA 02653-3357 | |
| (508) 246-9766 | |
| Not Available |
| Full Name | Amy Burke Llc |
|---|---|
| Speciality | Counselor |
| Location | 79 Finlay Rd Ste C, Orleans, Massachusetts |
| Authorized Official Name and Position | Amy Burke (OWNER) |
| Authorized Official Contact | 5082469766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Burke Llc 38 Daleys Ter Orleans MA 02653-3318 Ph: (508) 346-9766 | Amy Burke Llc 79 Finlay Rd Ste C Orleans MA 02653-3357 Ph: (508) 246-9766 |
| NPI Number | 1962177469 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Medicare PECOS PAC ID | 7517343148 |
|---|---|
| Medicare Enrollment ID | O20221004003156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962177469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amy Louise Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851733398 PECOS PAC ID: 2163706029 Enrollment ID: I20180816001539 |
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