Towerlight Health And Wellness, Llc | |
13 Steeple St Ste 202-37 Mashpee MA 02649-3287 | |
(508) 375-7936 | |
Not Available |
Full Name | Towerlight Health And Wellness, Llc |
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Speciality | Psychiatry & Neurology |
Location | 13 Steeple St Ste 202-37, Mashpee, Massachusetts |
Authorized Official Name and Position | Oshetisi Stanney (OWNER) |
Authorized Official Contact | 5083757936 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Towerlight Health And Wellness, Llc 13 Steeple St Ste 202-37 Mashpee MA 02649-3287 Ph: (508) 375-7936 | Towerlight Health And Wellness, Llc 13 Steeple St Ste 202-37 Mashpee MA 02649-3287 Ph: (508) 375-7936 |
NPI Number | 1477278091 |
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Provider Enumeration Date | 10/06/2022 |
Last Update Date | 05/13/2024 |
Certification Date | 05/13/2024 |
Medicare PECOS PAC ID | 2860869500 |
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Medicare Enrollment ID | O20221109000824 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477278091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Oshetisi Jamillah Okagbare |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003563511 PECOS PAC ID: 3779950415 Enrollment ID: I20221109000863 |
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