| Life Management For Adults Pllc | |
|
20 Ladd St Fl 4 Portsmouth NH 03801-4087 | |
| (603) 205-2953 | |
| (888) 499-1213 |
| Full Name | Life Management For Adults Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20 Ladd St Fl 4, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Tricia Poblete Mendoza (OWNER) |
| Authorized Official Contact | 6032052953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Management For Adults Pllc Po Box 969 Portsmouth NH 03802-0969 Ph: (603) 205-2953 | Life Management For Adults Pllc 20 Ladd St Fl 4 Portsmouth NH 03801-4087 Ph: (603) 205-2953 |
| NPI Number | 1801125760 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 07/21/2022 |
| Certification Date | 11/18/2020 |
| Medicare PECOS PAC ID | 1355607490 |
|---|---|
| Medicare Enrollment ID | O20171107000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801125760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 14388 (New Hampshire) | Primary |
| Provider Name | Tricia P Mendoza |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1568648897 PECOS PAC ID: 6406918515 Enrollment ID: I20090818000323 |
| Provider Name | Kristen J Aleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558620898 PECOS PAC ID: 4587820725 Enrollment ID: I20120716000544 |
| Provider Name | Salud P Mendoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871757666 PECOS PAC ID: 0941459523 Enrollment ID: I20120926000432 |
| Provider Name | Donna Marie Hedberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265067789 PECOS PAC ID: 7315359247 Enrollment ID: I20201216002914 |
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