| Identity And Mental Health Project Llc | |
|
65 Rossmore Rd Apt 2l Boston MA 02130-3671 | |
| (857) 453-8249 | |
| Not Available |
| Full Name | Identity And Mental Health Project Llc |
|---|---|
| Speciality | Social Worker |
| Location | 65 Rossmore Rd Apt 2l, Boston, Massachusetts |
| Authorized Official Name and Position | Michelle Ranelli (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4136872709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Identity And Mental Health Project Llc 65 Rossmore Rd Apt 2l Boston MA 02130-3671 Ph: () - | Identity And Mental Health Project Llc 65 Rossmore Rd Apt 2l Boston MA 02130-3671 Ph: (857) 453-8249 |
| NPI Number | 1568097673 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568097673 | NPI | - | NPPES |
| 123 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1801231303 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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