Provider Demographics
NPI:1114083318
Name:SEIXAS, ABBY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ABBY
Middle Name:
Last Name:SEIXAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GOWELL LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1648
Mailing Address - Country:US
Mailing Address - Phone:781-647-4404
Mailing Address - Fax:781-647-5295
Practice Address - Street 1:16 GOWELL LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1648
Practice Address - Country:US
Practice Address - Phone:781-647-4404
Practice Address - Fax:781-647-5295
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0659OtherBLUE CROSS BLUE SHIELD