| Inspire Counseling And Support Center | |
|
29 Main St Leominster MA 01453-5546 | |
| (978) 786-9660 | |
| (978) 225-7797 |
| Full Name | Inspire Counseling And Support Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 29 Main St, Leominster, Massachusetts |
| Authorized Official Name and Position | Jennifer R Dellasanta (COO) |
| Authorized Official Contact | 7742532575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Counseling And Support Center 29 Main St Leominster MA 01453-5546 Ph: (978) 786-9660 | Inspire Counseling And Support Center 29 Main St Leominster MA 01453-5546 Ph: (978) 786-9660 |
| NPI Number | 1265990311 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 5890103535 |
|---|---|
| Medicare Enrollment ID | O20210420000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265990311 | NPI | - | NPPES |
| 110171071A | Medicaid | MA |
| Provider Name | Kimberly Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619041803 PECOS PAC ID: 9638189442 Enrollment ID: I20210415001099 |
| Provider Name | Jaymes Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598019838 PECOS PAC ID: 2961765151 Enrollment ID: I20210422000717 |
| Provider Name | Cecily Racheal Patmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134433998 PECOS PAC ID: 2466635651 Enrollment ID: I20220526001713 |
| Provider Name | Katina Theodorou Theodorou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770721284 PECOS PAC ID: 7517319809 Enrollment ID: I20240123001702 |
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