| The Watch Wellness Group, Inc. | |
|
104 Moody St Ludlow MA 01056-1273 | |
| (413) 885-0464 | |
| Not Available |
| Full Name | The Watch Wellness Group, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 104 Moody St, Ludlow, Massachusetts |
| Authorized Official Name and Position | Lisa Knowles-warren (OWNER/PRESIDENT) |
| Authorized Official Contact | 4133303342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Watch Wellness Group, Inc. 31 Nash Hill Rd Ludlow MA 01056-1006 Ph: (413) 885-0464 | The Watch Wellness Group, Inc. 104 Moody St Ludlow MA 01056-1273 Ph: (413) 885-0464 |
| NPI Number | 1790438430 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 3577913854 |
|---|---|
| Medicare Enrollment ID | O20231228002639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790438430 | NPI | - | NPPES |
| 1457564692 | Medicaid | MA |
| Provider Name | Lisa Ann Knowles-warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457564692 PECOS PAC ID: 0749630028 Enrollment ID: I20231228002986 |
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