Provider Demographics
NPI:1619557501
Name:NURTURING SELF-COMPASSION, LLC
Entity Type:Organization
Organization Name:NURTURING SELF-COMPASSION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGASEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:085-470-1440
Mailing Address - Street 1:111 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7042
Mailing Address - Country:US
Mailing Address - Phone:508-470-1440
Mailing Address - Fax:
Practice Address - Street 1:111 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7042
Practice Address - Country:US
Practice Address - Phone:508-470-1440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty