Integrated Behavioral Care New England Llc | |
800 Turnpike St Ste 300 North Andover MA 01845-6156 | |
(978) 296-5595 | |
(978) 296-5594 |
Full Name | Integrated Behavioral Care New England Llc |
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Speciality | Counselor |
Location | 800 Turnpike St Ste 300, North Andover, Massachusetts |
Authorized Official Name and Position | Meeting Mouzakis (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9788862359 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Behavioral Care New England Llc 431 Johnson St North Andover MA 01845-4721 Ph: (978) 886-2359 | Integrated Behavioral Care New England Llc 800 Turnpike St Ste 300 North Andover MA 01845-6156 Ph: (978) 296-5595 |
NPI Number | 1053185272 |
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Provider Enumeration Date | 11/08/2023 |
Last Update Date | 11/08/2023 |
Certification Date | 11/08/2023 |
Medicare PECOS PAC ID | 2860836715 |
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Medicare Enrollment ID | O20240219002188 |
Identifier | Type | State | Issuer |
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1053185272 | NPI | - | NPPES |
Provider Name | George Mouzakis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639287261 PECOS PAC ID: 8022344936 Enrollment ID: I20230621000204 |
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