| Northern Human Services | |
|
25 W Main St Conway NH 03818-6142 | |
| (603) 447-3347 | |
| Not Available |
| Full Name | Northern Human Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 W Main St, Conway, New Hampshire |
| Authorized Official Name and Position | Eric Johnson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6034473347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Human Services 87 Washington St Conway NH 03818-6044 Ph: (603) 447-3347 | Northern Human Services 25 W Main St Conway NH 03818-6142 Ph: (603) 447-3347 |
| NPI Number | 1700955028 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Medicare PECOS PAC ID | 3173595931 |
|---|---|
| Medicare Enrollment ID | O20040811000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700955028 | NPI | - | NPPES |
| 3081387 | Medicaid | NH | |
| 3076811 | Medicaid | NH | |
| 3086591 | Medicaid | NH | |
| 3072144 | Medicaid | NH | |
| 3081392 | Medicaid | NH | |
| 3072053 | Medicaid | NH | |
| 3072362 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Norman Eric Vanleuven |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639217482 PECOS PAC ID: 9739141391 Enrollment ID: I20041027000601 |
| Provider Name | Laurie J Brodeur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093836009 PECOS PAC ID: 7012973860 Enrollment ID: I20050112000173 |
| Provider Name | Suzan Putman Dewitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821517442 PECOS PAC ID: 3779998125 Enrollment ID: I20210216002644 |
| Provider Name | Robyn A Blais |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891354486 PECOS PAC ID: 3476935222 Enrollment ID: I20220727000434 |
| Provider Name | Gemini Leitch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376087650 PECOS PAC ID: 8123469343 Enrollment ID: I20240517003064 |
Empower Community Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Remote Telehealth Services, Conway, NH 03818 Phone: 617-729-9111 | |
Blossoming Connections Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176a Main St, Conway, NH 03818 Phone: 603-689-6188 | |
Children Unlimited, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 W Main St, Conway, NH 03818 Phone: 603-447-6356 Fax: 603-447-1114 | |
Children Unlimited, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 W Main St, Conway, NH 03818 Phone: 603-447-6356 Fax: 603-447-1114 | |
Healing Pathways Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Odell Hill Rd, Conway, NH 03818 Phone: 603-617-2119 Fax: 603-617-2119 | |
Healing Hearts Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Odell Hill Rd, Conway, NH 03818 Phone: 603-651-5019 | |
The Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 87 Washington St, Conway, NH 03818 Phone: 603-439-3347 |