| Omega Therapy Practice Llc | |
|
121 Tremont St Malden MA 02148-2717 | |
| (617) 407-0440 | |
| (857) 302-3179 |
| Full Name | Omega Therapy Practice Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 121 Tremont St, Malden, Massachusetts |
| Authorized Official Name and Position | Ines M Pierre-louis (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6174070440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Therapy Practice Llc 121 Tremont St Malden MA 02148-2717 Ph: (617) 407-0440 | Omega Therapy Practice Llc 121 Tremont St Malden MA 02148-2717 Ph: (617) 407-0440 |
| NPI Number | 1912600511 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912600511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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