| New Bridge To Holistic Health Llc | |
|
18 Hammond St Worcester MA 01610-1513 | |
| (508) 883-0277 | |
| Not Available |
| Full Name | New Bridge To Holistic Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18 Hammond St, Worcester, Massachusetts |
| Authorized Official Name and Position | Cora Y Butler-jones (OWNER) |
| Authorized Official Contact | 5088830277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Bridge To Holistic Health Llc 19 Stockholm St Worcester MA 01607-1530 Ph: (508) 883-0277 | New Bridge To Holistic Health Llc 18 Hammond St Worcester MA 01610-1513 Ph: (508) 883-0277 |
| NPI Number | 1427659150 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Medicare PECOS PAC ID | 8123430246 |
|---|---|
| Medicare Enrollment ID | O20201215000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427659150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cora Y Butler Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356525927 PECOS PAC ID: 0547341810 Enrollment ID: I20080114000280 |
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