| Catalyst Cooperative Healing | |
|
650 Dwight St # 744 Holyoke MA 01040-4473 | |
| (413) 595-1095 | |
| Not Available |
| Full Name | Catalyst Cooperative Healing |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Medicare PECOS PAC ID | 4688011299 |
|---|---|
| Medicare Enrollment ID | O20240319001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811656283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marina Kantarovich Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619245784 PECOS PAC ID: 1850643644 Enrollment ID: I20190920001404 |
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