| Greenbridge Counseling And Wellness, Llc | |
|
269 Middlesex Rd Tyngsboro MA 01879-1078 | |
| (978) 649-2055 | |
| Not Available |
| Full Name | Greenbridge Counseling And Wellness, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 269 Middlesex Rd, Tyngsboro, Massachusetts |
| Authorized Official Name and Position | Janice Elizabeth Price (OWNER/DIRECTOR) |
| Authorized Official Contact | 9786492055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbridge Counseling And Wellness, Llc 269 Middlesex Rd Tyngsboro MA 01879-1078 Ph: (978) 649-2055 | Greenbridge Counseling And Wellness, Llc 269 Middlesex Rd Tyngsboro MA 01879-1078 Ph: (978) 649-2055 |
| NPI Number | 1891033262 |
|---|---|
| Provider Enumeration Date | 01/19/2013 |
| Last Update Date | 01/09/2017 |
| Medicare PECOS PAC ID | 2668627720 |
|---|---|
| Medicare Enrollment ID | O20130222000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891033262 | NPI | - | NPPES |
| 110097258A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Janice E Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093801094 PECOS PAC ID: 6406885680 Enrollment ID: I20050808001011 |
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