| Trauma To Hope Counseling Services | |
|
165 Main St Unit 303 Medway MA 02053-1584 | |
| (617) 903-0158 | |
| Not Available |
| Full Name | Trauma To Hope Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 165 Main St Unit 303, Medway, Massachusetts |
| Authorized Official Name and Position | Lubenji D Laforest (INDEPENDENT LICENSE SOCIAL WORKER) |
| Authorized Official Contact | 6179030158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma To Hope Counseling Services 165 Main St Unit 303 Medway MA 02053-1584 Ph: (617) 903-0158 | Trauma To Hope Counseling Services 165 Main St Unit 303 Medway MA 02053-1584 Ph: (617) 903-0158 |
| NPI Number | 1811604838 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 8527411354 |
|---|---|
| Medicare Enrollment ID | O20240129002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811604838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lubenji D Laforest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932653094 PECOS PAC ID: 2961878848 Enrollment ID: I20221018000978 |
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