DAWN WYMAN LICSW PLLC (NPI# 1144757691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144757691 |
| Entity Type | Organization |
| Organization Name | DAWN WYMAN LICSW PLLC |
| Practice Address |
3 Executive Park Dr Ste 212 Bedford NH 03110-6975 |
| Mailing Address |
Po Box 4275 Manchester NH 03108-4275 |
| Practice Telephone | 6034404519 |
| Practice Fax Number | 6032323079 |
| Mailing Telephone | 6034404519 |
| Mailing Fax Number | 6032323079 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Authorized Official Name | LEE DIETER (BILLING MANAGER) |
| Authorized Official Telephone | 6037140870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3 EXECUTIVE PARK DR STE 212 |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826902 | Tree of Life Psychotherapy and Counseling Services Pllc | Clinic/Center | 82 Palomino Ln Ste 703, Bedford, NH 03110-6448 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954719 | Grow Your Own Way Counseling Services, LLC | Clinic/Center | 94 River Rd, Hudson, NH 03051-5241 | 2016-10-27 |
| 1003000365 | Nashua Youth Council Inc | Clinic/Center | 112 West Pearl Street, Nashua, NH 03060 | 2007-08-30 |
| 1649756339 | Nfi North Inc. | Clinic/Center | 249 Main St, Littleton, NH 03561-4021 | 2018-07-16 |
| 1750618153 | Northern Human Services | Clinic/Center | 87 Washington St, Conway, NH 03818-6044 | 2009-11-06 |
| 1508037979 | Direction Behavioral Health Associates, LLC | Clinic/Center | 5 Pine Street Ext, #6 Mill Annex, Unit B, Nashua, NH 03060-3248 | 2008-03-13 |
| 1306934757 | Pastoral Counseling Services-united Church of Christ, Inc. | Clinic/Center | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2006-10-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.