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 |
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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 |
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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 |
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Provider Enumeration Date | 04/11/2016 |
Last Update Date | 11/28/2023 |
Certification Date | 11/28/2023 |
Medicare PECOS PAC ID | 3971871336 |
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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 |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346540309 PECOS PAC ID: 1153699525 Enrollment ID: I20240308002889 |
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