| Hilltown Behavioral Health & Substance Abuse Services Healing H | |
|
241 West St Worthington MA 01098-9618 | |
| (413) 854-7096 | |
| Not Available |
| Full Name | Hilltown Behavioral Health & Substance Abuse Services Healing H |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 241 West St, Worthington, Massachusetts |
| Authorized Official Name and Position | Tracy Sherman Mcmanmon (OWNER) |
| Authorized Official Contact | 4138547096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilltown Behavioral Health & Substance Abuse Services Healing H 241 West St Worthington MA 01098-9618 Ph: (413) 854-7096 | Hilltown Behavioral Health & Substance Abuse Services Healing H 241 West St Worthington MA 01098-9618 Ph: (413) 854-7096 |
| NPI Number | 1528649126 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 5991158750 |
|---|---|
| Medicare Enrollment ID | O20240129000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528649126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tracy Mcmanmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215336797 PECOS PAC ID: 6800249665 Enrollment ID: I20240129000141 |
| Provider Name | Gwendolyn Roit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184164758 PECOS PAC ID: 3870946635 Enrollment ID: I20240129000198 |
| Provider Name | Eleni Susan Dines |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790210722 PECOS PAC ID: 2860835329 Enrollment ID: I20240212003116 |