| Love & Mercy Christian Counseling Services, Inc | |
|
1424 Blue Hill Ave Mattapan MA 02126-2277 | |
| (617) 828-7447 | |
| (617) 296-5552 |
| Full Name | Love & Mercy Christian Counseling Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 1424 Blue Hill Ave, Mattapan, Massachusetts |
| Authorized Official Name and Position | Marie Berthonia Anto (CEO) |
| Authorized Official Contact | 6178287447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love & Mercy Christian Counseling Services, Inc 1424 Blue Hill Ave Mattapan MA 02126-2277 Ph: (617) 828-7447 | Love & Mercy Christian Counseling Services, Inc 1424 Blue Hill Ave Mattapan MA 02126-2277 Ph: (617) 828-7447 |
| NPI Number | 1245087790 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 4284174780 |
|---|---|
| Medicare Enrollment ID | O20240911001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245087790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marie Berthonia Antoine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407907462 PECOS PAC ID: 8729528229 Enrollment ID: I20240911002147 |
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