| Diverse Understanding Mental Health Counseling Llc | |
|
160 Winthrop Ave Unit 11 Lawrence MA 01843-3840 | |
| (978) 476-9016 | |
| Not Available |
| Full Name | Diverse Understanding Mental Health Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 160 Winthrop Ave Unit 11, Lawrence, Massachusetts |
| Authorized Official Name and Position | Geraldo Pagan (MANAGING MEMBER) |
| Authorized Official Contact | 9784769016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Understanding Mental Health Counseling Llc 95 Harrison St Haverhill MA 01830-4807 Ph: (978) 476-9016 | Diverse Understanding Mental Health Counseling Llc 160 Winthrop Ave Unit 11 Lawrence MA 01843-3840 Ph: (978) 476-9016 |
| NPI Number | 1952765463 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 3971871336 |
|---|---|
| Medicare Enrollment ID | O20170608001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952765463 | NPI | - | NPPES |
| 001207271 | Other | MA | SECRETARY OF THE COMMONWEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9504 (Massachusetts) | Primary |
| Provider Name | Geraldo Pagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346540309 PECOS PAC ID: 1153699525 Enrollment ID: I20240308002889 |
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