| Light Paths Counseling Llc | |
|
27 Congress St Ste 305-03 Salem MA 01970-5510 | |
| (978) 594-3669 | |
| Not Available |
| Full Name | Light Paths Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27 Congress St Ste 305-03, Salem, Massachusetts |
| Authorized Official Name and Position | Tatiana Sloutsky (SOLE OWNER) |
| Authorized Official Contact | 9785943669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Paths Counseling Llc 27 Congress St Ste 305-03 Salem MA 01970-5510 Ph: (978) 594-3669 | Light Paths Counseling Llc 27 Congress St Ste 305-03 Salem MA 01970-5510 Ph: (978) 594-3669 |
| NPI Number | 1861906547 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 2062772106 |
|---|---|
| Medicare Enrollment ID | O20180209000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861906547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tatiana Sloutsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043458706 PECOS PAC ID: 2567788599 Enrollment ID: I20150310000431 |
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