| Moonbeam Wellness Llc | |
|
1 Derby Sq # 10 Salem MA 01970-3704 | |
| (978) 219-2968 | |
| (978) 209-3777 |
| Full Name | Moonbeam Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Derby Sq # 10, Salem, Massachusetts |
| Authorized Official Name and Position | Martyna Rusinowicz (OWNER) |
| Authorized Official Contact | 9782192968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonbeam Wellness Llc 1 Derby Sq # 10 Salem MA 01970-3704 Ph: (978) 219-2968 | Moonbeam Wellness Llc 1 Derby Sq # 10 Salem MA 01970-3704 Ph: (978) 219-2968 |
| NPI Number | 1376208819 |
|---|---|
| Provider Enumeration Date | 10/31/2021 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376208819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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