Mya Dominique Lemons, BS, QMHP-T is a 
Community/behavioral Health based in Allston, Massachusetts. Mya Dominique Lemons is licensed to practice in Virginia (license number 0734011681) and her current practice location is 
14 Fordham Rd, Allston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at 
(617) 782-6460.
NPI number for Mya Dominique Lemons is 1245057413 and her current mailing address is 23 Kennedy Dr, Randolph, Massachusetts. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245057413.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mya Dominique Lemons | 
|---|
| Gender | Female | 
|---|
| Speciality | Community/behavioral Health | 
|---|
| Location | 14 Fordham Rd, Allston, Massachusetts | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1245057413
 - Provider Enumeration Date: 09/20/2024
 - Last Update Date: 09/20/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Mya Dominique Lemons such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1245057413 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YM0800X | Counselor - Mental Health  | 0734011681 (Virginia) | Secondary | 
| 251S00000X | Community/behavioral Health  | 0734011681 (Virginia) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mya Dominique Lemons is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Mya Dominique Lemons, BS, QMHP-T 23 Kennedy Dr, Randolph, MA 02368-3821 Ph: (781) 510-3236 | Mya Dominique Lemons, BS, QMHP-T 14 Fordham Rd, Allston, MA 02134-3000 Ph: (617) 782-6460 | 
		
		 
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