Blueskies Wellness, Inc. | |
232 Pleasant St 2nd Floor Methuen MA 01844-7121 | |
(978) 655-1823 | |
(978) 655-1759 |
Full Name | Blueskies Wellness, Inc. |
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Speciality | Community/Behavioral Health |
Location | 232 Pleasant St, Methuen, Massachusetts |
Authorized Official Name and Position | Belen E Godwin (PRESIDENT) |
Authorized Official Contact | 6032756272 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blueskies Wellness, Inc. 232 Pleasant St 2nd Floor Methuen MA 01844-7121 Ph: (978) 655-1823 | Blueskies Wellness, Inc. 232 Pleasant St 2nd Floor Methuen MA 01844-7121 Ph: (978) 655-1823 |
NPI Number | 1861778003 |
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Provider Enumeration Date | 11/02/2011 |
Last Update Date | 10/21/2015 |
Medicare PECOS PAC ID | 0345540225 |
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Medicare Enrollment ID | O20151125000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861778003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2023719 (Massachusetts) | Primary |
Provider Name | Belen E Godwin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366568222 PECOS PAC ID: 1850691734 Enrollment ID: I20151125000916 |
Provider Name | Kara Drew Bloomingdale |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1376776526 PECOS PAC ID: 7719248681 Enrollment ID: I20180719003931 |
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