| Latino Counseling Center, Inc | |
|
121 State St Ste 100 Springfield MA 01103-1986 | |
| (413) 301-7797 | |
| Not Available |
| Full Name | Latino Counseling Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 State St Ste 100, Springfield, Massachusetts |
| Authorized Official Name and Position | Maria Silva (COO) |
| Authorized Official Contact | 4136128248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latino Counseling Center, Inc 125 Liberty St Ste 100 Springfield MA 01103-1109 Ph: (413) 301-7797 | Latino Counseling Center, Inc 121 State St Ste 100 Springfield MA 01103-1986 Ph: (413) 301-7797 |
| NPI Number | 1013577642 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 9931530110 |
|---|---|
| Medicare Enrollment ID | O20200505000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013577642 | NPI | - | NPPES |
| Provider Name | David Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285969220 PECOS PAC ID: 4880949080 Enrollment ID: I20180612000544 |
| Provider Name | Edgardo Rodriguez Falche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396954889 PECOS PAC ID: 3678633443 Enrollment ID: I20200505000887 |
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