In Wellness, Llc | |
12 Laurel Park Northampton MA 01060 | |
(413) 923-4837 | |
(800) 927-2750 |
Full Name | In Wellness, Llc |
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Speciality | Clinic/Center |
Location | 12 Laurel Park, Northampton, Massachusetts |
Authorized Official Name and Position | Tracey Ingle (OWNER / PROVIDER) |
Authorized Official Contact | 4139234837 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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In Wellness, Llc 351 Pleasant St Ste B #334 Northampton MA 01060 Ph: (413) 923-4837 | In Wellness, Llc 12 Laurel Park Northampton MA 01060 Ph: (413) 923-4837 |
NPI Number | 1205699147 |
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Provider Enumeration Date | 02/02/2024 |
Last Update Date | 02/27/2024 |
Certification Date | 02/27/2024 |
Medicare PECOS PAC ID | 2365888641 |
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Medicare Enrollment ID | O20240308001254 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205699147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Tracey Ingle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154606226 PECOS PAC ID: 2567724925 Enrollment ID: I20180322001986 |
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