Shanna Townley Lmhc Llc | |
260 Washington St Fl 1 Pembroke MA 02359-1805 | |
(617) 807-0021 | |
Not Available |
Full Name | Shanna Townley Lmhc Llc |
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Speciality | Clinic/Center |
Location | 260 Washington St Fl 1, Pembroke, Massachusetts |
Authorized Official Name and Position | Shanna A Townley (OWNER) |
Authorized Official Contact | 6178070021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shanna Townley Lmhc Llc Po Box 84 Pembroke MA 02359-0084 Ph: (617) 807-0021 | Shanna Townley Lmhc Llc 260 Washington St Fl 1 Pembroke MA 02359-1805 Ph: (617) 807-0021 |
NPI Number | 1447836275 |
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Provider Enumeration Date | 03/22/2021 |
Last Update Date | 01/25/2024 |
Certification Date | 01/25/2024 |
Medicare PECOS PAC ID | 9133563588 |
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Medicare Enrollment ID | O20240214000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447836275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Shanna Ann Townley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952838559 PECOS PAC ID: 3779927124 Enrollment ID: I20240214000822 |
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