| Jtsj1 Enterprises Llc | |
|
25 Sundial Ave Ste 310w Manchester NH 03103-7244 | |
| (207) 303-7444 | |
| Not Available |
| Full Name | Jtsj1 Enterprises Llc |
|---|---|
| Speciality | Counselor |
| Location | 25 Sundial Ave Ste 310w, Manchester, New Hampshire |
| Authorized Official Name and Position | James Glanville (OWNER) |
| Authorized Official Contact | 2073037444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtsj1 Enterprises Llc 243 Mitchell Rd Cape Elizabeth ME 04107-1213 Ph: (207) 303-7444 | Jtsj1 Enterprises Llc 25 Sundial Ave Ste 310w Manchester NH 03103-7244 Ph: (207) 303-7444 |
| NPI Number | 1801589759 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 05/29/2023 |
| Certification Date | 05/27/2023 |
| Medicare PECOS PAC ID | 9537515689 |
|---|---|
| Medicare Enrollment ID | O20231025001447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801589759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Emily Turcotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174841563 PECOS PAC ID: 2769737436 Enrollment ID: I20180620002785 |
| Provider Name | Gary Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619601473 PECOS PAC ID: 5991156952 Enrollment ID: I20240104000954 |
| Provider Name | Kimberly Ann Merrill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639619364 PECOS PAC ID: 5890146872 Enrollment ID: I20240104001453 |
| Provider Name | Catherine B Borbotsina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669761672 PECOS PAC ID: 6709237787 Enrollment ID: I20240104001459 |
| Provider Name | Felicity Bernard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457597288 PECOS PAC ID: 4082060132 Enrollment ID: I20240104001587 |
| Provider Name | Amy E Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528011954 PECOS PAC ID: 6608211545 Enrollment ID: I20240229004192 |
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