Provider Demographics
NPI:1700242880
Name:BAGSHAW COUNSELING AND HYPNOSIS PLLC
Entity Type:Organization
Organization Name:BAGSHAW COUNSELING AND HYPNOSIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:603-327-7395
Mailing Address - Street 1:65 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1905
Mailing Address - Country:US
Mailing Address - Phone:603-327-7395
Mailing Address - Fax:602-232-3079
Practice Address - Street 1:65 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1905
Practice Address - Country:US
Practice Address - Phone:603-327-7395
Practice Address - Fax:602-232-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH550101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3082962Medicaid