Provider Demographics
NPI:1003572736
Name:ARCANA MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:ARCANA MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:LAFONTAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-837-7282
Mailing Address - Street 1:10 RIVERSIDE DR STE 204
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1689
Mailing Address - Country:US
Mailing Address - Phone:508-573-4844
Mailing Address - Fax:508-573-4833
Practice Address - Street 1:10 RIVERSIDE DR STE 204
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-1689
Practice Address - Country:US
Practice Address - Phone:508-573-4844
Practice Address - Fax:508-573-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty