Basic Information
| Provider Information | |||||||||
| NPI: | 1649672965 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LAUREN PALMACCIO, LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 65 BLACKSMITH RD | ||||||||
| Address2: | |||||||||
| City: | SEEKONK | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027711934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178660589 | ||||||||
| FaxNumber: | 5085570234 | ||||||||
| Practice Location | |||||||||
| Address1: | 7 PECK ST | ||||||||
| Address2: | |||||||||
| City: | ATTLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027032257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178660589 | ||||||||
| FaxNumber: | 5085570234 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2014 | ||||||||
| LastUpdateDate: | 09/17/2014 | ||||||||
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| AuthorizedOfficialLastName: | PALMACCIO | ||||||||
| AuthorizedOfficialFirstName: | LAUREN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6178660589 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMHC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 7209 | MA | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.