| Phelps-smith Llc | |
|
2 Herie Ave Apt 2 Pittsfield MA 01201-5548 | |
| (413) 329-7307 | |
| Not Available |
| Full Name | Phelps-smith Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 Herie Ave Apt 2, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Rebecca Lynn Phelps-smith (OWNER) |
| Authorized Official Contact | 4133297307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phelps-smith Llc Po Box 3235 Pittsfield MA 01202-3235 Ph: (413) 329-7307 | Phelps-smith Llc 2 Herie Ave Apt 2 Pittsfield MA 01201-5548 Ph: (413) 329-7307 |
| NPI Number | 1548808843 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548808843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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