| Proxima B Counseling, Inc . | |
|
43 Driftwood Circle Mashpee MA 02649 | |
| (203) 216-8668 | |
| (857) 350-4050 |
| Full Name | Proxima B Counseling, Inc . |
|---|---|
| Speciality | Counselor |
| Location | 43 Driftwood Circle, Mashpee, Massachusetts |
| Authorized Official Name and Position | Kathleen Manon Schiffman (PRACTICE OWNER) |
| Authorized Official Contact | 8572094207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proxima B Counseling, Inc . 43 Driftwood Circle Mashpee MA 02649 Ph: (203) 216-8668 | Proxima B Counseling, Inc . 43 Driftwood Circle Mashpee MA 02649 Ph: (203) 216-8668 |
| NPI Number | 1326741851 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Medicare PECOS PAC ID | 0244678423 |
|---|---|
| Medicare Enrollment ID | O20240408000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326741851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathleen Manon Schiffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336703784 PECOS PAC ID: 1153769336 Enrollment ID: I20240408000355 |
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