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NPI Code Detail

MEDICARE: LIFEBALANCE COUNSELING COACHING AND WELLNESS PLLC

MEDICARE: LIFEBALANCE COUNSELING COACHING AND WELLNESS PLLC
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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427440239
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFEBALANCE COUNSELING COACHING AND WELLNESS PLLC
Provider Business Mailing Address
First Line : 323 GONIC RD STE 2A
Second Line :
City : ROCHESTER
State : NH
Zip : 03839-5689
Country : US
Telephone Number : 603-332-8000
Fax Number : 603-601-4476
Provider Business Practice Location Address
First Line : 323 GONIC RD STE 2A
Second Line :
City : ROCHESTER
State : NH
Zip : 03839-5689
Country : US
Telephone Number : 603-332-8000
Fax Number : 603-601-4476
Authorized Official
Title or Position : MANAGER
Name : JESSICA M PINKHAM
Credential :
Telephone Number : 603-332-8000
Provider Enumeration Date : 03/03/2015
Last Update Date : 05/12/2022

Similar Medicare Providers

1306804034 — MS. SHARON ANNE DREW-HENSON LICSW
Practice Location Address:
323 GONIC RD STE 2A
ROCHESTER, NH
03839-5689
Practice Phone: 603-332-8000
Practice Fax: 603-601-4476
1134336134 — LESLIE HENDERSON PASQUINI MSW, LICSW, LSSW
Practice Location Address:
323 GONIC RD STE 2A
ROCHESTER, NH
03839-5689
Practice Phone: 603-332-8000
Practice Fax:
1013128180 — MS. JESSICA M PINKHAM LICSW
Practice Location Address:
323 GONIC RD STE 2A
ROCHESTER, NH
03839-5689
Practice Phone: 603-332-8000
Practice Fax: 603-601-4476
1427305234 — SUSAN HAMANN LMFT
Practice Location Address:
323 GONIC RD STE 2A
ROCHESTER, NH
03839-5689
Practice Phone: 603-332-8000
Practice Fax: 603-601-4476
1689074486 — BRETT PAYEUR
Practice Location Address:
323 GONIC RD STE 2A
ROCHESTER, NH
03839-5689
Practice Phone: 603-332-8000
Practice Fax:
1023529005 — MRS. ALEXIS SPINK RDN
Practice Location Address:
323 GONIC RD STE 2A
ROCHESTER, NH
03839-5689
Practice Phone: 603-332-8000
Practice Fax:

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