| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 177 Lake Ave, Manchester, New Hampshire |
| Authorized Official Name and Position | Meghan Shea (CHIEF PROGRAMS OFFICER) |
| Authorized Official Contact | 6036419441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
122 Market St Manchester NH 03101-1952 Ph: (603) 641-9441 | 177 Lake Ave Manchester NH 03103 Ph: (603) 641-9441 |
| NPI Number | 1972987006 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972987006 | NPI | - | NPPES |
| 3114881 | Medicaid | NH |
Holly Rioux Licsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Hanover St Ste 200, Manchester, NH 03101 Phone: 617-804-0948 | |
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