Elizannite Marie Davila Roman, LADCII - Counselor in Springfield, MA

Elizannite Marie Davila Roman, LADCII is a Counselor - Addiction (substance Use Disorder) based in Springfield, Massachusetts. Elizannite Marie Davila Roman is licensed to practice in Massachusetts (license number 20661) and her current practice location is 1380 Main St Ste 415, Springfield, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (413) 459-8655.

NPI number for Elizannite Marie Davila Roman is 1023787389 and her current mailing address is 1380 Main St Ste 415, Springfield, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023787389.

Contact Information

Elizannite Marie Davila Roman, LADCII
1380 Main St Ste 415,
Springfield, MA 01103-1440
(413) 459-8655
(413) 455-2708

Map and Direction


Healthcare Provider's Profile

Full NameElizannite Marie Davila Roman
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1380 Main St Ste 415, Springfield, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023787389
  • Provider Enumeration Date: 09/09/2021
  • Last Update Date: 09/09/2021

Medical Identifiers

Medical identifiers for Elizannite Marie Davila Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023787389NPI-NPPES
S87753442OtherMADRIVERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 20661 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizannite Marie Davila Roman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizannite Marie Davila Roman, LADCII
1380 Main St Ste 415,
Springfield, MA 01103-1440

Ph: (413) 459-8655
Elizannite Marie Davila Roman, LADCII
1380 Main St Ste 415,
Springfield, MA 01103-1440

Ph: (413) 459-8655

Reviews and Comments


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