| The Vine Christian Counseling Llc | |
|
89 Globe Mills Ave Unit 225 Fall River MA 02724-1482 | |
| (508) 838-0885 | |
| Not Available |
| Full Name | The Vine Christian Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 89 Globe Mills Ave Unit 225, Fall River, Massachusetts |
| Authorized Official Name and Position | Melissa Anne Hathaway (OWNER) |
| Authorized Official Contact | 5088380885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Vine Christian Counseling Llc 89 Globe Mills Ave Fall River MA 02724-1455 Ph: (508) 838-0885 | The Vine Christian Counseling Llc 89 Globe Mills Ave Unit 225 Fall River MA 02724-1482 Ph: (508) 838-0885 |
| NPI Number | 1295471522 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 3375982580 |
|---|---|
| Medicare Enrollment ID | O20240422001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295471522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melissa Anne Hathaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598162638 PECOS PAC ID: 4284073495 Enrollment ID: I20240422001296 |
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