Catalyst Cooperative Healing | |
650 Dwight St # 744 Holyoke MA 01040-4473 | |
(413) 595-1095 | |
Not Available |
Full Name | Catalyst Cooperative Healing |
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Speciality | Social Worker |
Location | 650 Dwight St # 744, Holyoke, Massachusetts |
Authorized Official Name and Position | Brittany Mendez (PSYCHOTHERAPIST) |
Authorized Official Contact | 4135951095 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catalyst Cooperative Healing 650 Dwight St # 744 Holyoke MA 01040-4473 Ph: () - | Catalyst Cooperative Healing 650 Dwight St # 744 Holyoke MA 01040-4473 Ph: (413) 595-1095 |
NPI Number | 1811656283 |
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Provider Enumeration Date | 12/14/2021 |
Last Update Date | 12/14/2021 |
Certification Date | 12/14/2021 |
Medicare PECOS PAC ID | 4688011299 |
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Medicare Enrollment ID | O20240319001139 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811656283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Marina Kantarovich Rodriguez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619245784 PECOS PAC ID: 1850643644 Enrollment ID: I20190920001404 |
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