| Matters Of The Mind Body & Spirit Llc | |
|
2 Oak Street Suite 205 Mashpee MA 02649 | |
| (508) 454-5703 | |
| Not Available |
| Full Name | Matters Of The Mind Body & Spirit Llc |
|---|---|
| Speciality | Counselor |
| Location | 2 Oak Street, Mashpee, Massachusetts |
| Authorized Official Name and Position | Lisa Balboni-farhadi (OWNER) |
| Authorized Official Contact | 5084545703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matters Of The Mind Body & Spirit Llc Po Box 661 Mashpee MA 02649 Ph: () - | Matters Of The Mind Body & Spirit Llc 2 Oak Street Suite 205 Mashpee MA 02649 Ph: (508) 454-5703 |
| NPI Number | 1588019392 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 5294019881 |
|---|---|
| Medicare Enrollment ID | O20170227001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588019392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Balboni Farhadi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275693632 PECOS PAC ID: 7517059496 Enrollment ID: I20070823000203 |
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