Mrs Heather Dearington Lawrence, LMHC | |
29 Pine St, Southbridge, MA 01550-1823 | |
(508) 765-9167 | |
Not Available |
Full Name | Mrs Heather Dearington Lawrence |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 29 Pine St, Southbridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598900847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMHC10000879 (Massachusetts) | Primary |
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Mailing Address | Practice Location Address |
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Mrs Heather Dearington Lawrence, LMHC Po Box 415348, Boston, MA 02241-5348 Ph: () - | Mrs Heather Dearington Lawrence, LMHC 29 Pine St, Southbridge, MA 01550-1823 Ph: (508) 765-9167 |
Mr. Dominic Idoko, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-765-3147 | |
Courtney Sturgis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Southbridge, MA 01550 Phone: 508-756-1292 Fax: 508-753-5051 | |
Shannon Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 774-276-5247 | |
Tammy Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-764-2434 | |
Jochebed Brochu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 508-765-9101 | |
Mr. Nathanael Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St Apt #1, Southbridge, MA 01550 Phone: 508-765-9101 | |
Mr. Marc L Bonin, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 |