| Hope Renewed Counseling Center, Llc | |
|
631 South Main Street Sharon MA 02067 | |
| (617) 416-2280 | |
| (781) 806-5113 |
| Full Name | Hope Renewed Counseling Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 631 South Main Street, Sharon, Massachusetts |
| Authorized Official Name and Position | Lila Ann Reid (OWNER, CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6174162280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Renewed Counseling Center, Llc 631 S Main St Sharon MA 02067-2833 Ph: (617) 416-2280 | Hope Renewed Counseling Center, Llc 631 South Main Street Sharon MA 02067 Ph: (617) 416-2280 |
| NPI Number | 1598170672 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 06/26/2014 |
| Medicare PECOS PAC ID | 7012277742 |
|---|---|
| Medicare Enrollment ID | O20180129000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598170672 | NPI | - | NPPES |
| 1336498138 | Other | MA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 116260 (Massachusetts) | Primary |
| Provider Name | Lila A Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336498138 PECOS PAC ID: 4789906579 Enrollment ID: I20141205001014 |
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