| Blueskies Wellness, Inc. | |
|
232 Pleasant St 2nd Floor Methuen MA 01844-7121 | |
| (978) 655-1823 | |
| (978) 655-1759 |
| Full Name | Blueskies Wellness, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 10/21/2015 |
| Medicare PECOS PAC ID | 0345540225 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366568222 PECOS PAC ID: 1850691734 Enrollment ID: I20151125000916 |
| Provider Name | Kara Drew Bloomingdale |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376776526 PECOS PAC ID: 7719248681 Enrollment ID: I20180719003931 |
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