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NPI Code Detail

MEDICARE: SHEPHERDS HEART COUNSELING LLC

MEDICARE: SHEPHERDS HEART COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1225800881
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEPHERDS HEART COUNSELING LLC
Provider Business Mailing Address
First Line : 27 GREENFIELD DR
Second Line :
City : PLAISTOW
State : NH
Zip : 03865-2346
Country : US
Telephone Number : 978-996-2957
Fax Number : 508-433-1871
Provider Business Practice Location Address
First Line : 80 ROUTE 125
Second Line :
City : KINGSTON
State : NH
Zip : 03848-3535
Country : US
Telephone Number : 603-642-6700
Fax Number : 508-433-1871
Authorized Official
Title or Position : OWNER
Name : RICARDO ROMAGNOLI TRIANI
Credential :
Telephone Number : 978-996-2957
Provider Enumeration Date : 10/26/2023
Last Update Date : 12/09/2024

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Directions to “SHEPHERDS HEART COUNSELING LLC ” Practice Location

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