| Wings Of Hope Psychotherapy, Llc | |
|
49 Old Mill Rd Kingston MA 02364-1347 | |
| (339) 832-9069 | |
| Not Available |
| Full Name | Wings Of Hope Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 49 Old Mill Rd, Kingston, Massachusetts |
| Authorized Official Name and Position | Maura Shepard (OWNER) |
| Authorized Official Contact | 5084336289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Hope Psychotherapy, Llc 49 Old Mill Rd Kingston MA 02364-1347 Ph: (339) 832-9069 | Wings Of Hope Psychotherapy, Llc 49 Old Mill Rd Kingston MA 02364-1347 Ph: (339) 832-9069 |
| NPI Number | 1356928204 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Medicare PECOS PAC ID | 4183012115 |
|---|---|
| Medicare Enrollment ID | O20211025002566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356928204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maura Shepard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548692056 PECOS PAC ID: 5991193922 Enrollment ID: I20211025002672 |
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