Provider Demographics
NPI:1396364907
Name:AGBORKANG ARRAH, LUCIA-BILGAH BATE (MS, LADC 1)
Entity Type:Individual
Prefix:MS
First Name:LUCIA-BILGAH
Middle Name:BATE
Last Name:AGBORKANG ARRAH
Suffix:
Gender:F
Credentials:MS, LADC 1
Other - Prefix:MS
Other - First Name:LUCY
Other - Middle Name:BATE
Other - Last Name:AGBORKANG ARRAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGBORKANG
Mailing Address - Street 1:3 BLOSSOM ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2737
Mailing Address - Country:US
Mailing Address - Phone:978-394-9541
Mailing Address - Fax:
Practice Address - Street 1:545 WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-4766
Practice Address - Country:US
Practice Address - Phone:978-345-0685
Practice Address - Fax:978-345-3602
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20803101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)