| Oflong Mental Health Services Llc | |
|
365 Main St Worcester MA 01608-1710 | |
| (508) 963-6934 | |
| Not Available |
| Full Name | Oflong Mental Health Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 365 Main St, Worcester, Massachusetts |
| Authorized Official Name and Position | Benedicta Gomashie (OWNER) |
| Authorized Official Contact | 5089636934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oflong Mental Health Services Llc 11 Foster St Ste 301 Worcester MA 01608-1760 Ph: (508) 963-6934 | Oflong Mental Health Services Llc 365 Main St Worcester MA 01608-1710 Ph: (508) 963-6934 |
| NPI Number | 1134984669 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 1557700903 |
|---|---|
| Medicare Enrollment ID | O20240417003396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134984669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Benedicta G Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063814051 PECOS PAC ID: 2466891817 Enrollment ID: I20240417003576 |
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