| Emerald Meadow Counseling | |
|
96 Prudence Ln Cotuit MA 02635-2618 | |
| (774) 327-3250 | |
| Not Available |
| Full Name | Emerald Meadow Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 96 Prudence Ln, Cotuit, Massachusetts |
| Authorized Official Name and Position | Wendy A Colesano (CREDENTIALING/BILLING REP) |
| Authorized Official Contact | 8773071010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Meadow Counseling 96 Prudence Ln Cotuit MA 02635-2618 Ph: (774) 327-3250 | Emerald Meadow Counseling 96 Prudence Ln Cotuit MA 02635-2618 Ph: (774) 327-3250 |
| NPI Number | 1598345878 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 04/12/2021 |
| Certification Date | 04/12/2021 |
| Medicare PECOS PAC ID | 0840699336 |
|---|---|
| Medicare Enrollment ID | O20210603002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598345878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cherie M Gravelle-stulsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578713004 PECOS PAC ID: 2961815444 Enrollment ID: I20201229002431 |
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