| Richer Soil Counseling Llc | |
|
164 Main St Boylston MA 01505-1928 | |
| (508) 928-7555 | |
| Not Available |
| Full Name | Richer Soil Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 164 Main St, Boylston, Massachusetts |
| Authorized Official Name and Position | Kerry Lavallee (OWNER) |
| Authorized Official Contact | 5089287555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richer Soil Counseling Llc 55 Mill Rd Boylston MA 01505-2012 Ph: (508) 579-0612 | Richer Soil Counseling Llc 164 Main St Boylston MA 01505-1928 Ph: (508) 928-7555 |
| NPI Number | 1447712575 |
|---|---|
| Provider Enumeration Date | 04/06/2019 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Medicare PECOS PAC ID | 4082050265 |
|---|---|
| Medicare Enrollment ID | O20240311000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447712575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kerry L Lavallee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285969576 PECOS PAC ID: 7416393699 Enrollment ID: I20240311001330 |
| Provider Name | Melissa Sansone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760548143 PECOS PAC ID: 9335586924 Enrollment ID: I20240319000379 |
| Provider Name | Meghan Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295134310 PECOS PAC ID: 1658718242 Enrollment ID: I20240319000532 |
| Provider Name | Heather Guaragna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912381021 PECOS PAC ID: 5496192098 Enrollment ID: I20240319000804 |
| Provider Name | Miriam Chouki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306294400 PECOS PAC ID: 9436596046 Enrollment ID: I20240319001008 |
| Provider Name | Christine Dono |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730640392 PECOS PAC ID: 5496192007 Enrollment ID: I20240319001174 |
Apple Aba Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Perry Rd, Boylston, MA 01505 Phone: 508-918-9525 |