Provider Demographics
NPI:1376213975
Name:EHQUANIMITY LLC
Entity Type:Organization
Organization Name:EHQUANIMITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HETZEL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-645-9214
Mailing Address - Street 1:9 PEABODY ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7613
Mailing Address - Country:US
Mailing Address - Phone:617-645-9214
Mailing Address - Fax:
Practice Address - Street 1:451 ANDOVER ST STE 185
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5075
Practice Address - Country:US
Practice Address - Phone:617-702-2802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1659566636OtherNPI
1659566636OtherNPI