| Center For Resilience Pc | |
|
30 Florence Ave Holyoke MA 01040-1813 | |
| (413) 687-8239 | |
| Not Available |
| Full Name | Center For Resilience Pc |
|---|---|
| Speciality | Counselor |
| Location | 30 Florence Ave, Holyoke, Massachusetts |
| Authorized Official Name and Position | Jessica Prodis (LICSW) |
| Authorized Official Contact | 4136878239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Resilience Pc 30 Florence Ave Holyoke MA 01040-1813 Ph: (413) 437-0875 | Center For Resilience Pc 30 Florence Ave Holyoke MA 01040-1813 Ph: (413) 687-8239 |
| NPI Number | 1730781584 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 12/16/2023 |
| Certification Date | 11/19/2020 |
| Medicare PECOS PAC ID | 0244645919 |
|---|---|
| Medicare Enrollment ID | O20210211000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730781584 | NPI | - | NPPES |
| Provider Name | Lisa C Amato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891835617 PECOS PAC ID: 5092960211 Enrollment ID: I20130219000249 |
| Provider Name | Jessica Prodis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407166341 PECOS PAC ID: 6305145814 Enrollment ID: I20160505000796 |
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