Provider Demographics
NPI:1568525525
Name:MESSINA, SUSAN BETH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:BETH
Last Name:MESSINA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2036
Mailing Address - Country:US
Mailing Address - Phone:508-223-4691
Mailing Address - Fax:508-223-3397
Practice Address - Street 1:5 BANK STREET
Practice Address - Street 2:COMMUNITY COUNSELING OF BRISTOL COUNTY
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703
Practice Address - Country:US
Practice Address - Phone:508-222-0302
Practice Address - Fax:508-223-3397
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5939101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health