| Healing Trauma Center Inc. | |
|
150 8th St Fl 1 New Bedford MA 02740-6003 | |
| (774) 328-8718 | |
| (774) 202-2826 |
| Full Name | Healing Trauma Center Inc. |
|---|---|
| Speciality | Counselor |
| Location | 150 8th St Fl 1, New Bedford, Massachusetts |
| Authorized Official Name and Position | Kim Christine Spooner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7743288718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Trauma Center Inc. 150 8th St New Bedford MA 02740-6003 Ph: (774) 328-8718 | Healing Trauma Center Inc. 150 8th St Fl 1 New Bedford MA 02740-6003 Ph: (774) 328-8718 |
| NPI Number | 1629835095 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 8022551670 |
|---|---|
| Medicare Enrollment ID | O20240624003009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629835095 | NPI | - | NPPES |
| Provider Name | Kim Christine Spooner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003166950 PECOS PAC ID: 8224474929 Enrollment ID: I20240315000881 |
| Provider Name | Kathie Silvia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740722933 PECOS PAC ID: 9133654684 Enrollment ID: I20241121001124 |
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