Provider Demographics
NPI:1952617128
Name:BEDFORD FAMILY THERAPY, LLC
Entity Type:Organization
Organization Name:BEDFORD FAMILY THERAPY, LLC
Other - Org Name:BFT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:603-218-6073
Mailing Address - Street 1:10 COMMERCE PARK N
Mailing Address - Street 2:UNIT 1A
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6905
Mailing Address - Country:US
Mailing Address - Phone:603-606-1233
Mailing Address - Fax:
Practice Address - Street 1:10 COMMERCE PARK N
Practice Address - Street 2:UNIT 1A
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6905
Practice Address - Country:US
Practice Address - Phone:603-606-1233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14961041C0700X
NH71106H00000X
NH70106H00000X
NH126106H00000X
NH98106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1225231012OtherNPI
1780708776OtherNPI
1659411668OtherNPI
NH3075554Medicaid
1861430548OtherNPI
1861430548OtherNPI
NH30426433Medicaid