| Transformations Counseling Center, Inc | |
|
106 State Rd North Dartmouth MA 02747-2923 | |
| (401) 835-1810 | |
| Not Available |
| Full Name | Transformations Counseling Center, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 106 State Rd, North Dartmouth, Massachusetts |
| Authorized Official Name and Position | Tracy Ann Dagesse (OWNER) |
| Authorized Official Contact | 4018351810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations Counseling Center, Inc 1063 Bulgarmarsh Rd Tiverton RI 02878-3324 Ph: (401) 835-1810 | Transformations Counseling Center, Inc 106 State Rd North Dartmouth MA 02747-2923 Ph: (401) 835-1810 |
| NPI Number | 1528686060 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Medicare PECOS PAC ID | 5092177162 |
|---|---|
| Medicare Enrollment ID | O20230822001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528686060 | NPI | - | NPPES |
| 110091562 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tracy A Dagesse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629383591 PECOS PAC ID: 2567639453 Enrollment ID: I20120117000683 |
| Provider Name | Tracy A Dagesse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629383591 PECOS PAC ID: 2567639453 Enrollment ID: I20230905000941 |
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