| Coastal Wellness Llc | |
|
105 Webster St Ste 5 Hanover MA 02339-1227 | |
| (508) 353-9602 | |
| Not Available |
| Full Name | Coastal Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 105 Webster St Ste 5, Hanover, Massachusetts |
| Authorized Official Name and Position | Courtney Flanagan-faber (LCSW) |
| Authorized Official Contact | 5083539602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Wellness Llc 105 Webster St Ste 5 Hanover MA 02339-1227 Ph: (508) 353-9602 | Coastal Wellness Llc 105 Webster St Ste 5 Hanover MA 02339-1227 Ph: (508) 353-9602 |
| NPI Number | 1730699471 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5698036622 |
|---|---|
| Medicare Enrollment ID | O20180307001953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730699471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Courtney L Flanagan Faber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437280278 PECOS PAC ID: 3173701349 Enrollment ID: I20110617000554 |
| Provider Name | Glenn Meunier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912204686 PECOS PAC ID: 9133307705 Enrollment ID: I20110630000025 |
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