Provider Demographics
NPI:1629682141
Name:SILVER LININGS COUNSELING, LLC
Entity Type:Organization
Organization Name:SILVER LININGS COUNSELING, LLC
Other - Org Name:JESSICA STUCKER, LICSW, MLADC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, MLADC
Authorized Official - Phone:857-302-0313
Mailing Address - Street 1:1 MIDDLE ST STE 223
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4391
Mailing Address - Country:US
Mailing Address - Phone:857-302-0313
Mailing Address - Fax:603-766-0009
Practice Address - Street 1:1 MIDDLE ST STE 223
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4391
Practice Address - Country:US
Practice Address - Phone:857-302-0313
Practice Address - Fax:603-766-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3114304Medicaid