Provider Demographics
NPI:1376872242
Name:PARENTCOACH FAMILY COUNSELING, LLC
Entity Type:Organization
Organization Name:PARENTCOACH FAMILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:THADDEUS
Authorized Official - Last Name:CURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-595-9355
Mailing Address - Street 1:65 TECHNOLOGY WAY
Mailing Address - Street 2:SUITE 3W7
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3245
Mailing Address - Country:US
Mailing Address - Phone:603-595-9355
Mailing Address - Fax:866-579-5833
Practice Address - Street 1:65 TECHNOLOGY WAY
Practice Address - Street 2:SUITE 3W7
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3245
Practice Address - Country:US
Practice Address - Phone:603-595-9355
Practice Address - Fax:866-579-5833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30422765Medicaid
NHRE7689OtherMEDICARE