| Be Well At Black Barn Farm Llc | |
|
6 North St Methuen MA 01844-1214 | |
| (617) 313-7975 | |
| (617) 804-5355 |
| Full Name | Be Well At Black Barn Farm Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6 North St, Methuen, Massachusetts |
| Authorized Official Name and Position | Sobhan Namvar (OWNER) |
| Authorized Official Contact | 6173137975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well At Black Barn Farm Llc 6 North St Methuen MA 01844-1214 Ph: (617) 313-7975 | Be Well At Black Barn Farm Llc 6 North St Methuen MA 01844-1214 Ph: (617) 313-7975 |
| NPI Number | 1205445525 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205445525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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