Lifeworks Counseling Associates, Pllc | |
35 Academy St Laconia NH 03246-3606 | |
(603) 556-4360 | |
Not Available |
Full Name | Lifeworks Counseling Associates, Pllc |
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Speciality | Social Worker |
Location | 35 Academy St, Laconia, New Hampshire |
Authorized Official Name and Position | David M Ferruolo (PRESIDENT) |
Authorized Official Contact | 6035564360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifeworks Counseling Associates, Pllc Po Box 6421 Laconia NH 03247-6421 Ph: (603) 556-4360 | Lifeworks Counseling Associates, Pllc 35 Academy St Laconia NH 03246-3606 Ph: (603) 556-4360 |
NPI Number | 1144889130 |
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Provider Enumeration Date | 06/12/2019 |
Last Update Date | 07/05/2021 |
Certification Date | 07/05/2021 |
Medicare PECOS PAC ID | 8123358686 |
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Medicare Enrollment ID | O20190925003190 |
Identifier | Type | State | Issuer |
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1144889130 | NPI | - | NPPES |
Provider Name | David M Ferruolo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760932735 PECOS PAC ID: 8426303900 Enrollment ID: I20180625002673 |
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