| M Coyle Llc | |
|
8 Prince Pl # 113 Newburyport MA 01950-2612 | |
| (978) 317-9635 | |
| Not Available |
| Full Name | M Coyle Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Prince Pl # 113, Newburyport, Massachusetts |
| Authorized Official Name and Position | Mireille Coyle (OWNER) |
| Authorized Official Contact | 9783179635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Coyle Llc 65 Shortell Ave Beverly MA 01915-3948 Ph: () - | M Coyle Llc 8 Prince Pl # 113 Newburyport MA 01950-2612 Ph: (978) 317-9635 |
| NPI Number | 1801550009 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/25/2021 |
| Medicare PECOS PAC ID | 5991197741 |
|---|---|
| Medicare Enrollment ID | O20220128000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801550009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mireille Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588035497 PECOS PAC ID: 2668761156 Enrollment ID: I20160524000216 |
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