| Deep Well Counseling Llc | |
|
80 Grandview Dr Belgrade ME 04917-3644 | |
| (516) 317-8581 | |
| Not Available |
| Full Name | Deep Well Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 80 Grandview Dr, Belgrade, Maine |
| Authorized Official Name and Position | Samantha Abbatiello (OWNER) |
| Authorized Official Contact | 5163178581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Well Counseling Llc 80 Grandview Dr Belgrade ME 04917-3644 Ph: () - | Deep Well Counseling Llc 80 Grandview Dr Belgrade ME 04917-3644 Ph: (516) 317-8581 |
| NPI Number | 1235986449 |
|---|---|
| Provider Enumeration Date | 05/04/2024 |
| Last Update Date | 05/04/2024 |
| Certification Date | 05/04/2024 |
| Medicare PECOS PAC ID | 5991248064 |
|---|---|
| Medicare Enrollment ID | O20240617003459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235986449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Samantha Abbatiello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497103972 PECOS PAC ID: 0547703647 Enrollment ID: I20240618000435 |
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