| The Healing Tree, Llc | |
|
144 Merrimack St Ste 305 Lowell MA 01852-1710 | |
| (978) 935-8032 | |
| Not Available |
| Full Name | The Healing Tree, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 144 Merrimack St Ste 305, Lowell, Massachusetts |
| Authorized Official Name and Position | Mary Clouter (OWNER, LICSW) |
| Authorized Official Contact | 9789425455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Tree, Llc 144 Merrimack St Ste 305 Lowell MA 01852-1710 Ph: (978) 935-8032 | The Healing Tree, Llc 144 Merrimack St Ste 305 Lowell MA 01852-1710 Ph: (978) 935-8032 |
| NPI Number | 1265067482 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/26/2021 |
| Medicare PECOS PAC ID | 0648679225 |
|---|---|
| Medicare Enrollment ID | O20210602001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265067482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Mary E Clouter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023553005 PECOS PAC ID: 2567744683 Enrollment ID: I20170126000294 |
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