| Tri-state Psychotherapy Group Llc | |
|
75 South Church St. 6th Floor Suite 22 Pittsfield MA 01201-6941 | |
| (413) 224-8716 | |
| Not Available |
| Full Name | Tri-state Psychotherapy Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | 75 South Church St., Pittsfield, Massachusetts |
| Authorized Official Name and Position | Melanie R Snyder (CEO/FOUNDER) |
| Authorized Official Contact | 5183013343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Psychotherapy Group Llc 75 South Church St. 6th Floor Suite 22 Pittsfield MA 01201-6941 Ph: () - | Tri-state Psychotherapy Group Llc 75 South Church St. 6th Floor Suite 22 Pittsfield MA 01201-6941 Ph: (413) 224-8716 |
| NPI Number | 1821783531 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 07/29/2023 |
| Certification Date | 07/29/2023 |
| Medicare PECOS PAC ID | 1759732621 |
|---|---|
| Medicare Enrollment ID | O20240105000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821783531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275176976 PECOS PAC ID: 7012368988 Enrollment ID: I20240105000510 |
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