| Integrated Behavioral Care, Llc | |
|
100 Main St Ste 208 Amesbury MA 01913-2822 | |
| (978) 296-5595 | |
| (978) 296-5592 |
| Full Name | Integrated Behavioral Care, Llc |
|---|---|
| Speciality | Counselor |
| Location | 100 Main St Ste 208, Amesbury, Massachusetts |
| Authorized Official Name and Position | George Mouzakis (OWNER) |
| Authorized Official Contact | 9788862359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Behavioral Care, Llc 431 Johnson St North Andover MA 01845-4721 Ph: (978) 886-2359 | Integrated Behavioral Care, Llc 100 Main St Ste 208 Amesbury MA 01913-2822 Ph: (978) 296-5595 |
| NPI Number | 1730869926 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 3375983489 |
|---|---|
| Medicare Enrollment ID | O20240506003225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730869926 | NPI | - | NPPES |
| Provider Name | George Mouzakis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639287261 PECOS PAC ID: 8022344936 Enrollment ID: I20230621000204 |
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