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6 Hunters Ln Mattapoisett MA 02739-1306 | |
| (508) 322-1882 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6 Hunters Ln, Mattapoisett, Massachusetts |
| Authorized Official Name and Position | Holly Anne Knight (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5083221882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6 Hunters Ln Mattapoisett MA 02739-1306 Ph: (508) 322-1882 | 6 Hunters Ln Mattapoisett MA 02739-1306 Ph: (508) 322-1882 |
| NPI Number | 1306678040 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Medicare PECOS PAC ID | 0446783161 |
|---|---|
| Medicare Enrollment ID | O20241101001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306678040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Holly Anne Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154936433 PECOS PAC ID: 1355874074 Enrollment ID: I20241101001161 |
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