| Deaf Haven Counseling Llc | |
|
200 N Main St Ste 4 East Longmeadow MA 01028-2354 | |
| (413) 569-8484 | |
| Not Available |
| Full Name | Deaf Haven Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 200 N Main St Ste 4, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Jennifer Bixby (OWNER) |
| Authorized Official Contact | 4135698484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaf Haven Counseling Llc 200 N Main St South Suite 4 Unit 7 East Longmeadow MA 01028-2354 Ph: () - | Deaf Haven Counseling Llc 200 N Main St Ste 4 East Longmeadow MA 01028-2354 Ph: (413) 569-8484 |
| NPI Number | 1780442749 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 09/15/2024 |
| Certification Date | 09/15/2024 |
| Medicare PECOS PAC ID | 5395187033 |
|---|---|
| Medicare Enrollment ID | O20240723002519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780442749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lynn Bixby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508473943 PECOS PAC ID: 3173968294 Enrollment ID: I20240228004176 |
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