Mind & Bodhi Pc | |
70 Case Ave # 1 Seekonk MA 02771-4156 | |
(774) 901-4800 | |
Not Available |
Full Name | Mind & Bodhi Pc |
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Speciality | Clinic/Center |
Location | 70 Case Ave # 1, Seekonk, Massachusetts |
Authorized Official Name and Position | Jere N Cabral (LICSW, OWNER) |
Authorized Official Contact | 5085582656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mind & Bodhi Pc 132 Baker Rd Swansea MA 02777-5002 Ph: (508) 558-2656 | Mind & Bodhi Pc 70 Case Ave # 1 Seekonk MA 02771-4156 Ph: (774) 901-4800 |
NPI Number | 1275309817 |
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Provider Enumeration Date | 11/27/2023 |
Last Update Date | 11/27/2023 |
Certification Date | 11/25/2023 |
Medicare PECOS PAC ID | 5799128054 |
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Medicare Enrollment ID | O20240205000560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275309817 | NPI | - | NPPES |
Provider Name | Jere Nichole Cabral |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073011664 PECOS PAC ID: 6608219969 Enrollment ID: I20240205000648 |
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