| Optimal Healing Llc | |
|
184 E Main St North Adams MA 01247-4404 | |
| (413) 398-2929 | |
| (844) 308-3742 |
| Full Name | Optimal Healing Llc |
|---|---|
| Speciality | Psychologist |
| Location | 184 E Main St, North Adams, Massachusetts |
| Authorized Official Name and Position | Ashley Benson (SOLE SHAREHOLDER) |
| Authorized Official Contact | 4133982929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Healing Llc Po Box 225 North Adams MA 01247-0225 Ph: (413) 398-2929 | Optimal Healing Llc 184 E Main St North Adams MA 01247-4404 Ph: (413) 398-2929 |
| NPI Number | 1952002404 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Medicare PECOS PAC ID | 1456716521 |
|---|---|
| Medicare Enrollment ID | O20230424002708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952002404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
| Provider Name | Donna A Rempell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235201757 PECOS PAC ID: 1557533023 Enrollment ID: I20111005000090 |
| Provider Name | Ashley P Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780907386 PECOS PAC ID: 6709159759 Enrollment ID: I20170913002286 |
| Provider Name | Keith M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366754046 PECOS PAC ID: 6800282203 Enrollment ID: I20220412002509 |
| Provider Name | Annette Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295153351 PECOS PAC ID: 5193101475 Enrollment ID: I20221011000904 |
| Provider Name | Michael Martin Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700499712 PECOS PAC ID: 8022458264 Enrollment ID: I20240503003324 |
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