Dancing Thistle Llc | |
197 Palmer Ave Falmouth MA 02540-2806 | |
(508) 933-2246 | |
Not Available |
Full Name | Dancing Thistle Llc |
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Speciality | Counselor |
Location | 197 Palmer Ave, Falmouth, Massachusetts |
Authorized Official Name and Position | Dea Elizabeth Butcher (SOLE MEMBER) |
Authorized Official Contact | 5099332246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dancing Thistle Llc 22 Sand Point Shores Dr East Falmouth MA 02536-4739 Ph: (508) 933-2246 | Dancing Thistle Llc 197 Palmer Ave Falmouth MA 02540-2806 Ph: (508) 933-2246 |
NPI Number | 1386274306 |
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Provider Enumeration Date | 01/17/2020 |
Last Update Date | 01/17/2020 |
Certification Date | 01/17/2020 |
Medicare PECOS PAC ID | 7911343652 |
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Medicare Enrollment ID | O20240315002273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386274306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Dea Elizabeth Butcher |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487957510 PECOS PAC ID: 8325481377 Enrollment ID: I20240207001658 |
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