| Lisa Holahan, | |
|
1666 Massachusetts Ave, Lexington, MA 02420-5317 | |
| (781) 386-0443 | |
| Not Available |
| Full Name | Lisa Holahan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1666 Massachusetts Ave, Lexington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720648785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13563 (Massachusetts) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Holahan, 1666 Massachusetts Ave, Lexington, MA 02420-5317 Ph: (781) 386-0443 | Lisa Holahan, 1666 Massachusetts Ave, Lexington, MA 02420-5317 Ph: (781) 386-0443 |
Ms. Magi Mckinnies, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Fletcher Ave, Lexington, MA 02420 Phone: 781-860-0620 | |
Denise Moyo, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1040 Waltham St, Lexington, MA 02421 Phone: 781-761-5165 | |
Michael Levi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Waltham St, Lexington, MA 02421 Phone: 339-707-0232 | |
Mr. Kyle Combs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1040 Waltham St, Lexington, MA 02421 Phone: 774-262-2868 | |
Angeliki Constantine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 | |
Emma Clay, RN Counselor Medicare: Medicare Enrolled Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 Fax: 781-592-0581 | |
Kate Mcgrath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 |