Provider Demographics
NPI:1447585948
Name:PARTNERS IN FAMILY WELLNESS, PLLC
Entity Type:Organization
Organization Name:PARTNERS IN FAMILY WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:TAVARES
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-898-3388
Mailing Address - Street 1:15 ERMER RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-1271
Mailing Address - Country:US
Mailing Address - Phone:603-898-3388
Mailing Address - Fax:603-898-3390
Practice Address - Street 1:15 ERMER RD
Practice Address - Street 2:SUITE 208
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-1271
Practice Address - Country:US
Practice Address - Phone:603-898-3388
Practice Address - Fax:603-898-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty