Provider Demographics
NPI:1922621689
Name:ADHD INNOVATIONS LLC
Entity Type:Organization
Organization Name:ADHD INNOVATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-682-8060
Mailing Address - Street 1:PO BOX 5422
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03108-5422
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:603-383-5394
Practice Address - Street 1:230 AMHERST ST STE 107
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1702
Practice Address - Country:US
Practice Address - Phone:603-682-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3117229Medicaid
NH3123057Medicaid