Provider Demographics
NPI:1821308867
Name:BETTS, EMLEE PAIGE (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:EMLEE
Middle Name:PAIGE
Last Name:BETTS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MS
Other - First Name:LEE
Other - Middle Name:P
Other - Last Name:BETTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:46 LOWELL ROAD
Mailing Address - Street 2:UNIT 7
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087
Mailing Address - Country:US
Mailing Address - Phone:603-537-1119
Mailing Address - Fax:603-437-2055
Practice Address - Street 1:46 LOWELL ROAD
Practice Address - Street 2:UNIT 7
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087
Practice Address - Country:US
Practice Address - Phone:603-537-1119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH406101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health