Provider Demographics
NPI:1659382398
Name:SOULE, RITA G (LMFT)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:G
Last Name:SOULE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WILSON HILL RD
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-2908
Mailing Address - Country:US
Mailing Address - Phone:603-424-5851
Mailing Address - Fax:
Practice Address - Street 1:188 ELM ST
Practice Address - Street 2:2
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4761
Practice Address - Country:US
Practice Address - Phone:603-673-7001
Practice Address - Fax:603-673-3002
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH31106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30424160Medicaid