Provider Demographics
NPI:1649672965
Name:LAUREN PALMACCIO, LMHC
Entity type:Organization
Organization Name:LAUREN PALMACCIO, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMACCIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-866-0589
Mailing Address - Street 1:65 BLACKSMITH RD
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-1934
Mailing Address - Country:US
Mailing Address - Phone:617-866-0589
Mailing Address - Fax:508-557-0234
Practice Address - Street 1:7 PECK ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2257
Practice Address - Country:US
Practice Address - Phone:617-866-0589
Practice Address - Fax:508-557-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7209101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty