Provider Demographics
NPI:1215574041
Name:NEILLEE HAROLD, LMHC
Entity Type:Organization
Organization Name:NEILLEE HAROLD, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEILLEE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAROLD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-219-4478
Mailing Address - Street 1:1 13TH ST APT 7
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3722
Mailing Address - Country:US
Mailing Address - Phone:774-219-4478
Mailing Address - Fax:
Practice Address - Street 1:1 13TH ST APT 7
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3722
Practice Address - Country:US
Practice Address - Phone:774-219-4478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1396063814OtherNPI