| Beyond Words Healing Services Llc | |
|
170 W 1st St S Fulton NY 13069-2231 | |
| (315) 720-3161 | |
| Not Available |
| Full Name | Beyond Words Healing Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 170 W 1st St S, Fulton, New York |
| Authorized Official Name and Position | Cam Tu Thi Nichols (PRIVATE OWNER) |
| Authorized Official Contact | 3157203161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Words Healing Services Llc 170 W 1st St S Fulton NY 13069-2231 Ph: (315) 720-3161 | Beyond Words Healing Services Llc 170 W 1st St S Fulton NY 13069-2231 Ph: (315) 720-3161 |
| NPI Number | 1881354959 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 2668865106 |
|---|---|
| Medicare Enrollment ID | O20220207000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881354959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Cam Tu T Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811497936 PECOS PAC ID: 2264762061 Enrollment ID: I20190920001834 |
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