| Lucky Day Counseling, Llc | |
|
529r High St Dedham MA 02026-1858 | |
| (617) 383-1033 | |
| (781) 251-2276 |
| Full Name | Lucky Day Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 529r High St, Dedham, Massachusetts |
| Authorized Official Name and Position | Evangelos Nonikos (PRESIDENT / DIRECTOR) |
| Authorized Official Contact | 6173831033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucky Day Counseling, Llc 529r High St Dedham MA 02026-1858 Ph: (617) 383-1033 | Lucky Day Counseling, Llc 529r High St Dedham MA 02026-1858 Ph: (617) 383-1033 |
| NPI Number | 1366101792 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 8224470422 |
|---|---|
| Medicare Enrollment ID | O20240520001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366101792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Evangelos Nomikos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932642147 PECOS PAC ID: 9133561335 Enrollment ID: I20240520001985 |
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