| Elly Humphrey Lmhc Llc | |
|
17 Lowden Ave Apt 1 Somerville MA 02144-2158 | |
| (508) 340-7828 | |
| Not Available |
| Full Name | Elly Humphrey Lmhc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Lowden Ave Apt 1, Somerville, Massachusetts |
| Authorized Official Name and Position | Elysia Humphrey (OWNER) |
| Authorized Official Contact | 5083407828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elly Humphrey Lmhc Llc 17 Lowden Ave Apt 1 Somerville MA 02144-2158 Ph: (508) 340-7828 | Elly Humphrey Lmhc Llc 17 Lowden Ave Apt 1 Somerville MA 02144-2158 Ph: (508) 340-7828 |
| NPI Number | 1639828445 |
|---|---|
| Provider Enumeration Date | 03/20/2022 |
| Last Update Date | 03/20/2022 |
| Certification Date | 03/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639828445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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