Provider Demographics
NPI:1578323622
Name:SILVER LINING WELLNESS, LLC
Entity Type:Organization
Organization Name:SILVER LINING WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMIRANDE
Authorized Official - Suffix:
Authorized Official - Credentials:MSCJ, MSW, LICSW
Authorized Official - Phone:978-973-2906
Mailing Address - Street 1:73 TURNPIKE STREET #1014
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845
Mailing Address - Country:US
Mailing Address - Phone:978-973-2906
Mailing Address - Fax:844-273-4141
Practice Address - Street 1:12 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844
Practice Address - Country:US
Practice Address - Phone:978-948-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVER LINING WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty