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Center For Eating Disorders Management Inc
Family Nurse Practitioner in Bedford, New Hampshire
NPI 1790706059

Center For Eating Disorders Management Inc is a Family Nurse Practitioner based in Bedford, NH and is specialized in Family. Center For Eating Disorders Management Inc practices in Bedford, NH. The NPI Number for Center For Eating Disorders Management Inc is 1790706059 and holds a License No. 890 (New Hampshire).

The current practice location address for Center For Eating Disorders Management Inc is 360 Route 101 Ste 10, Bedford, NH and can be reached out via phone at 603-472-2846 and via fax at 603-472-2872. You can also correspond with Center For Eating Disorders Management Inc through the mailing address at 360 ROUTE 101 STE 10, BEDFORD, NH - 03110-5031 (mailing address contact number: 603-472-2846).

Location: 360 Route 101 Ste 10, Bedford, NH, 03110-5031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790706059
Provider Name
Center For Eating Disorders Management Inc
Credential
Provider Entity Type
Organization
Address
360 Route 101 Ste 10, Bedford, NH, 03110-5031
Phone Number
603-472-2846
Fax Number
603-472-2872
Provider Enumeration Date
07/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S100731634 01 MA MEDICARE PTAN
3075544 05 NH
institution
Provider Business Practice Location Address Details
Address
360 Route 101 Ste 10
City
Bedford
State
New Hampshire
Zip
03110-5031
Phone Number
603-472-2846
Fax Number
603-472-2872
person
Provider Business Mailing Address Details
Address
360 Route 101 Ste 10
City
Bedford
State
New Hampshire
Zip
03110-5031
Phone Number
603-472-2846
Fax Number
603-472-2872
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
1122 (New Hampshire)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
720 (New Hampshire)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
890 (New Hampshire)
Definition
Definition to come...
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