Anew Behavioral Health Llc | |
372 West St Ste 102 Keene NH 03431-2412 | |
(603) 338-0033 | |
(800) 480-7578 |
Full Name | Anew Behavioral Health Llc |
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Speciality | Community/Behavioral Health |
Location | 372 West St Ste 102, Keene, New Hampshire |
Authorized Official Name and Position | Brittany Pratt (ADMINISTRATOR) |
Authorized Official Contact | 6033380033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anew Behavioral Health Llc 372 West St Ste 102 Keene NH 03431-2412 Ph: (603) 338-0033 | Anew Behavioral Health Llc 372 West St Ste 102 Keene NH 03431-2412 Ph: (603) 338-0033 |
NPI Number | 1023605334 |
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Provider Enumeration Date | 12/22/2020 |
Last Update Date | 04/29/2022 |
Certification Date | 04/29/2022 |
Medicare PECOS PAC ID | 6305233503 |
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Medicare Enrollment ID | O20220418001077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023605334 | NPI | - | NPPES |
Provider Name | Michael Boggs |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891038824 PECOS PAC ID: 2062725658 Enrollment ID: I20170522001967 |
Provider Name | Keith Frazier |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588027593 PECOS PAC ID: 5890075196 Enrollment ID: I20220510001383 |
Provider Name | Ann E Caraballo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942596010 PECOS PAC ID: 5799169892 Enrollment ID: I20220908000314 |
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