Provider Demographics
NPI:1215016035
Name:KNOWLES, LOUISA SCOTT (LMHC)
Entity Type:Individual
Prefix:
First Name:LOUISA
Middle Name:SCOTT
Last Name:KNOWLES
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:PO BOX 202
Mailing Address - Street 2:89 UNION STREET
Mailing Address - City:BARRE
Mailing Address - State:MA
Mailing Address - Zip Code:01005-0202
Mailing Address - Country:US
Mailing Address - Phone:978-355-2869
Mailing Address - Fax:
Practice Address - Street 1:338 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-2143
Practice Address - Country:US
Practice Address - Phone:508-752-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA968078OtherNETWORK HEALTH
MALM1041OtherBCBS
MA338603OtherTUFTS
MD101360 AND1038010OtherFALLON/BEACON