Provider Demographics
NPI:1871825190
Name:BARBOSA, LUCIA ALINA (LMHC)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:ALINA
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:FAMILY
Other - Middle Name:FIRST
Other - Last Name:COUNSELING INC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:170 MEDITERRANEAN DR APT 15
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-3844
Mailing Address - Country:US
Mailing Address - Phone:339-229-1667
Mailing Address - Fax:
Practice Address - Street 1:170 MEDITERRANEAN DR APT 15
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3844
Practice Address - Country:US
Practice Address - Phone:339-229-1667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
MA12093101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty