| Shining Oak Wellness | |
|
36 N Bedford St # C22 East Bridgewater MA 02333-1186 | |
| (413) 693-3767 | |
| Not Available |
| Full Name | Shining Oak Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 36 N Bedford St # C22, East Bridgewater, Massachusetts |
| Authorized Official Name and Position | Grant Pike (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4136933767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Oak Wellness 36 N Bedford St # C22 East Bridgewater MA 02333-1186 Ph: (413) 693-3767 | Shining Oak Wellness 36 N Bedford St # C22 East Bridgewater MA 02333-1186 Ph: (413) 693-3767 |
| NPI Number | 1174235238 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174235238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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