Provider Demographics
NPI:1518018373
Name:LAREAU-ALVES, MICHELE NICOLE (MA)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:NICOLE
Last Name:LAREAU-ALVES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:ALVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:164 HOPEDALE ST
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1910
Mailing Address - Country:US
Mailing Address - Phone:508-473-0875
Mailing Address - Fax:
Practice Address - Street 1:360 WOODLAND ST STE 2
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1826
Practice Address - Country:US
Practice Address - Phone:508-284-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health