| Be Well And Beyond,inc. | |
|
77 Great Road Suite 203 Acton MA 01720-6783 | |
| (978) 263-5771 | |
| (978) 263-5778 |
| Full Name | Be Well And Beyond,inc. |
|---|---|
| Speciality | Social Worker |
| Location | 77 Great Road, Acton, Massachusetts |
| Authorized Official Name and Position | Efimia Papadopoulos (PRESIDENT) |
| Authorized Official Contact | 9782635771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well And Beyond,inc. 77 Great Road Suite 203 Acton MA 01720-6783 Ph: (978) 263-5771 | Be Well And Beyond,inc. 77 Great Road Suite 203 Acton MA 01720-6783 Ph: (978) 263-5771 |
| NPI Number | 1144555038 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 05/06/2013 |
| Medicare PECOS PAC ID | 3072752799 |
|---|---|
| Medicare Enrollment ID | O20130610000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144555038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 09064 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 100740 (Massachusetts) | Primary |
| Provider Name | Efimia P Papadopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811992605 PECOS PAC ID: 5496644395 Enrollment ID: I20040310001291 |
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