Provider Demographics
NPI:1295883817
Name:BELIVEAU, SUSAN E (LMHC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:BELIVEAU
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 S HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-5706
Mailing Address - Country:US
Mailing Address - Phone:978-388-3145
Mailing Address - Fax:978-388-3146
Practice Address - Street 1:89 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-5706
Practice Address - Country:US
Practice Address - Phone:978-388-3145
Practice Address - Fax:978-388-3146
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health