| Elephant In The Room Counseling Llc | |
|
859 Willard St Ste 400 Quincy MA 02169-7469 | |
| (617) 657-3381 | |
| Not Available |
| Full Name | Elephant In The Room Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 859 Willard St Ste 400, Quincy, Massachusetts |
| Authorized Official Name and Position | Lapatlada Mo (HEAD CLINICIAN) |
| Authorized Official Contact | 6173291938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elephant In The Room Counseling Llc 859 Willard St Ste 400 Quincy MA 02169-7469 Ph: (617) 657-3381 | Elephant In The Room Counseling Llc 859 Willard St Ste 400 Quincy MA 02169-7469 Ph: (617) 657-3381 |
| NPI Number | 1033766407 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033766407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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