| Michael Sampson Lmhc Llc | |
|
24 Marion St Chicopee MA 01013-2557 | |
| (413) 206-2300 | |
| Not Available |
| Full Name | Michael Sampson Lmhc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Marion St, Chicopee, Massachusetts |
| Authorized Official Name and Position | Michael Sampson (MANAGER) |
| Authorized Official Contact | 4132062300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Sampson Lmhc Llc Po Box 51 Chicopee MA 01014-0051 Ph: (413) 206-2300 | Michael Sampson Lmhc Llc 24 Marion St Chicopee MA 01013-2557 Ph: (413) 206-2300 |
| NPI Number | 1386367159 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Medicare PECOS PAC ID | 5395189997 |
|---|---|
| Medicare Enrollment ID | O20240222002402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386367159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michael Sampson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619259256 PECOS PAC ID: 6204270804 Enrollment ID: I20240222002472 |
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