| Equilibria Mental Health Llc | |
|
960 Turnpike St Ste 11b Canton MA 02021-2878 | |
| (781) 298-7196 | |
| Not Available |
| Full Name | Equilibria Mental Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 960 Turnpike St Ste 11b, Canton, Massachusetts |
| Authorized Official Name and Position | Sabrina Marie Erickson (OWNER) |
| Authorized Official Contact | 8572343789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibria Mental Health Llc 960 Turnpike St Ste 11b Canton MA 02021-2878 Ph: (781) 298-7196 | Equilibria Mental Health Llc 960 Turnpike St Ste 11b Canton MA 02021-2878 Ph: (781) 298-7196 |
| NPI Number | 1972035665 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 09/06/2023 |
| Certification Date | 10/02/2020 |
| Medicare PECOS PAC ID | 5294148086 |
|---|---|
| Medicare Enrollment ID | O20210202001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972035665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 118415 (Massachusetts) | Primary |
| Provider Name | Sabrina Marie Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346553260 PECOS PAC ID: 5193947265 Enrollment ID: I20141106000103 |
| Provider Name | Erin Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215474176 PECOS PAC ID: 8527452242 Enrollment ID: I20220223001191 |
| Provider Name | Rachel Joy Stouck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851905210 PECOS PAC ID: 1456739705 Enrollment ID: I20220527001929 |
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