Illumination Psychotherapy Services, Llc. | |
36 N Bedford St East Bridgewater MA 02333-1186 | |
(508) 317-4927 | |
(508) 317-4927 |
Full Name | Illumination Psychotherapy Services, Llc. |
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Speciality | Community/behavioral Health |
Location | 36 N Bedford St, East Bridgewater, Massachusetts |
Authorized Official Name and Position | Kathryn Fernandes (OWNER) |
Authorized Official Contact | 5083174927 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Illumination Psychotherapy Services, Llc. Po Box 915 Lakeville MA 02347-0915 Ph: () - | Illumination Psychotherapy Services, Llc. 36 N Bedford St East Bridgewater MA 02333-1186 Ph: (508) 317-4927 |
NPI Number | 1609376987 |
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Provider Enumeration Date | 02/13/2018 |
Last Update Date | 02/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609376987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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