Provider Demographics
NPI:1275871543
Name:SIROIS, LAKSHMI LINDA (MA, LMHC, BC-DMT)
Entity Type:Individual
Prefix:MS
First Name:LAKSHMI
Middle Name:LINDA
Last Name:SIROIS
Suffix:
Gender:F
Credentials:MA, LMHC, BC-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ARROWHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2414
Mailing Address - Country:US
Mailing Address - Phone:978-356-5956
Mailing Address - Fax:
Practice Address - Street 1:130 COUNTY RD STE H
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2585
Practice Address - Country:US
Practice Address - Phone:978-471-1078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2046101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health