Provider Demographics
NPI:1932987443
Name:MR L S TUTORING AN ENRICHMENT LLC
Entity Type:Organization
Organization Name:MR L S TUTORING AN ENRICHMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:LAURENT
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAISIMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LABA
Authorized Official - Phone:617-750-0184
Mailing Address - Street 1:304 CUMMINS HWY
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-3825
Mailing Address - Country:US
Mailing Address - Phone:617-750-0184
Mailing Address - Fax:
Practice Address - Street 1:304 CUMMINS HWY
Practice Address - Street 2:
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-3825
Practice Address - Country:US
Practice Address - Phone:617-750-0184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty