| Mara Therapy Llc | |
|
17 Bishop Est Lenox MA 01240-2803 | |
| (413) 344-5221 | |
| Not Available |
| Full Name | Mara Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Bishop Est, Lenox, Massachusetts |
| Authorized Official Name and Position | Mara Ann Goodman-davies (SINGLE MEMBER) |
| Authorized Official Contact | 4133445221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Therapy Llc Po Box 2220 Lenox MA 01240-5220 Ph: (413) 344-5221 | Mara Therapy Llc 17 Bishop Est Lenox MA 01240-2803 Ph: (413) 344-5221 |
| NPI Number | 1386233658 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Medicare PECOS PAC ID | 4284090101 |
|---|---|
| Medicare Enrollment ID | O20230519000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386233658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mara Goodman-davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891237525 PECOS PAC ID: 1355707274 Enrollment ID: I20230519000824 |
Sharon A. Mozian, M.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Brunell Ave, Lenox, MA 01240 Phone: 917-549-1712 | |
Elizabeth Roberts Psychology, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Church St Ste 4, Lenox, MA 01240 Phone: 413-274-2393 Fax: 413-353-5006 | |
Jennifer Daily Licsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Church St, Suite 101, Lenox, MA 01240 Phone: 413-449-6147 | |
Kmallorymd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Church St, Lenox, MA 01240 Phone: 413-551-7155 | |
Dr. Glass Lenox Psychiatry, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Church Street, Suite 6, Lenox, MA 01240 Phone: 413-551-7609 Fax: 413-570-7242 |