| The Outreach Wellness Center Llc | |
|
1354 Hancock St Ste 205 Quincy MA 02169-5109 | |
| (857) 939-4445 | |
| Not Available |
| Full Name | The Outreach Wellness Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1354 Hancock St Ste 205, Quincy, Massachusetts |
| Authorized Official Name and Position | Brandon Gholson (INTAKE COORDINATOR) |
| Authorized Official Contact | 8579394445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Outreach Wellness Center Llc 200 Newbury Ave Apt 1 Quincy MA 02171-2259 Ph: () - | The Outreach Wellness Center Llc 1354 Hancock St Ste 205 Quincy MA 02169-5109 Ph: (857) 939-4445 |
| NPI Number | 1346009453 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 3577001288 |
|---|---|
| Medicare Enrollment ID | O20240813001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346009453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Ludger Labissiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366796070 PECOS PAC ID: 7012205446 Enrollment ID: I20161018000685 |
Quincy Aba Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Wedgewood St, Quincy, MA 02171 Phone: 617-780-4546 | |
Kbk Connections Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Greenleaf St, Quincy, MA 02169 Phone: 617-773-2344 Fax: 617-773-0907 | |
Tonn Cao And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Hancock St, Suite 1, Quincy, MA 02169 Phone: 617-697-9392 | |
Elephant In The Room Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Willard St Ste 400, Quincy, MA 02169 Phone: 617-657-3381 | |
Modern Assistance Programs, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 300 Congress St Ste 104, Quincy, MA 02169 Phone: 617-774-0331 Fax: 617-774-0336 | |
Marelin Dost Licsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Willard St Ste 400, Quincy, MA 02169 Phone: 508-301-3590 Fax: 508-301-1890 | |
Strength Within Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Quarry Hills Dr Apt 2206, Quincy, MA 02169 Phone: 508-399-1895 |