Provider Demographics
NPI:1225426828
Name:CHARLOTTHARTLEYCOUNSELING
Entity Type:Organization
Organization Name:CHARLOTTHARTLEYCOUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-808-9004
Mailing Address - Street 1:45 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2524
Mailing Address - Country:US
Mailing Address - Phone:978-808-9004
Mailing Address - Fax:
Practice Address - Street 1:45 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2524
Practice Address - Country:US
Practice Address - Phone:978-808-9004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty