| Crystal Eaton Lcmhc Llc | |
|
76 Northeastern Blvd Ste 32b Nashua NH 03062-3196 | |
| (978) 419-1781 | |
| Not Available |
| Full Name | Crystal Eaton Lcmhc Llc |
|---|---|
| Speciality | Counselor |
| Location | 76 Northeastern Blvd Ste 32b, Nashua, New Hampshire |
| Authorized Official Name and Position | Crystal Eaton (SOLE MEMBER) |
| Authorized Official Contact | 9784191781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Eaton Lcmhc Llc 76 Northeastern Blvd Ste 32b Nashua NH 03062-3196 Ph: (978) 419-1781 | Crystal Eaton Lcmhc Llc 76 Northeastern Blvd Ste 32b Nashua NH 03062-3196 Ph: (978) 419-1781 |
| NPI Number | 1598397697 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Medicare PECOS PAC ID | 9436590957 |
|---|---|
| Medicare Enrollment ID | O20240515002843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598397697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Crystal Eaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972961498 PECOS PAC ID: 7214378736 Enrollment ID: I20240515003033 |
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