Provider Demographics
NPI:1386826188
Name:THE COUPLES CENTER, PLLC
Entity Type:Organization
Organization Name:THE COUPLES CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:RIVCHUN
Authorized Official - Last Name:LAGER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-431-7131
Mailing Address - Street 1:118 MAPLEWOOD AVE
Mailing Address - Street 2:BUILDING A
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3787
Mailing Address - Country:US
Mailing Address - Phone:603-431-7131
Mailing Address - Fax:207-439-4113
Practice Address - Street 1:118 MAPLEWOOD AVE.
Practice Address - Street 2:BUILDING A
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4304
Practice Address - Country:US
Practice Address - Phone:603-431-7131
Practice Address - Fax:207-439-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1400525YONHO1OtherANTHEM BCBS
MA613214400OtherUS DEPT OF LABOR -- FECA