| Wellness Pathway Counseling Services, Llc | |
|
20 Cabot Blvd Ste 300 Mansfield MA 02048-1183 | |
| (508) 635-5598 | |
| (508) 213-1271 |
| Full Name | Wellness Pathway Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 20 Cabot Blvd Ste 300, Mansfield, Massachusetts |
| Authorized Official Name and Position | Gedeon Brezil (CEO) |
| Authorized Official Contact | 5086355598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Pathway Counseling Services, Llc 20 Cabot Blvd Ste 300 Mansfield MA 02048-1183 Ph: (508) 635-5598 | Wellness Pathway Counseling Services, Llc 20 Cabot Blvd Ste 300 Mansfield MA 02048-1183 Ph: (508) 635-5598 |
| NPI Number | 1396471942 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 05/12/2024 |
| Certification Date | 05/12/2024 |
| Medicare PECOS PAC ID | 1951775154 |
|---|---|
| Medicare Enrollment ID | O20230329000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396471942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gedeon Brezil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306395405 PECOS PAC ID: 4587903323 Enrollment ID: I20190222000440 |
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