| Trust Therapeutics Llc | |
|
202 Washington St Ste 312 Brookline MA 02445-7622 | |
| (413) 372-8572 | |
| Not Available |
| Full Name | Trust Therapeutics Llc |
|---|---|
| Speciality | Counselor |
| Location | 202 Washington St Ste 312, Brookline, Massachusetts |
| Authorized Official Name and Position | Lisa Louise Robinson (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4136273484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trust Therapeutics Llc Po Box 191749 Roxbury MA 02119-0033 Ph: (413) 627-3484 | Trust Therapeutics Llc 202 Washington St Ste 312 Brookline MA 02445-7622 Ph: (413) 372-8572 |
| NPI Number | 1023500824 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Medicare PECOS PAC ID | 2163886912 |
|---|---|
| Medicare Enrollment ID | O20230912001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023500824 | NPI | - | NPPES |
| Provider Name | Kristen N El Khattabi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306083811 PECOS PAC ID: 3173752805 Enrollment ID: I20140129001164 |
| Provider Name | Gail Kundrot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215122130 PECOS PAC ID: 9830253020 Enrollment ID: I20211013000718 |
| Provider Name | Lisa L Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881913903 PECOS PAC ID: 3072977826 Enrollment ID: I20240208002883 |
| Provider Name | Tammy Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033504717 PECOS PAC ID: 3678916020 Enrollment ID: I20240213001793 |
| Provider Name | Jordan A. Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245301845 PECOS PAC ID: 0042654717 Enrollment ID: I20240221002121 |
| Provider Name | Marceline Rachel Vilmont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467163287 PECOS PAC ID: 4486090537 Enrollment ID: I20240311003891 |
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