Provider Demographics
NPI:1922497288
Name:MARTHA'S COUNSELING, INC.
Entity Type:Organization
Organization Name:MARTHA'S COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:CLARISA
Authorized Official - Last Name:ALIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-689-5504
Mailing Address - Street 1:60 ISLAND ST STE 81
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1835
Mailing Address - Country:US
Mailing Address - Phone:978-689-5504
Mailing Address - Fax:978-203-6081
Practice Address - Street 1:60 ISLAND ST STE 81
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1835
Practice Address - Country:US
Practice Address - Phone:978-689-5504
Practice Address - Fax:978-682-5113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110075018AMedicaid