| Pcs Tele-behavioral Health Services Llc | |
|
7 Van Tassel Dr Randolph MA 02368-2819 | |
| (339) 987-9735 | |
| Not Available |
| Full Name | Pcs Tele-behavioral Health Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7 Van Tassel Dr, Randolph, Massachusetts |
| Authorized Official Name and Position | Paul Charles Stone (CLINICAL SOCIAL WORKER TELEHEALTH P) |
| Authorized Official Contact | 3399879735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcs Tele-behavioral Health Services Llc 7 Van Tassel Dr Randolph MA 02368-2819 Ph: (339) 987-9735 | Pcs Tele-behavioral Health Services Llc 7 Van Tassel Dr Randolph MA 02368-2819 Ph: (339) 987-9735 |
| NPI Number | 1154932879 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 11/27/2023 |
| Certification Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154932879 | NPI | - | NPPES |
| PO562101 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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