| Athina-eleni G. Mavroudhis, Lmhc | |
|
23 Wight St Waltham MA 02452-7941 | |
| (781) 690-6635 | |
| (978) 313-8209 |
| Full Name | Athina-eleni G. Mavroudhis, Lmhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23 Wight St, Waltham, Massachusetts |
| Authorized Official Name and Position | Athina-eleni Goudanas Mavroudhis (PRESIDENT/CLINICIAN) |
| Authorized Official Contact | 7816906635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athina-eleni G. Mavroudhis, Lmhc 23 Wight St Waltham MA 02452-7941 Ph: (781) 690-6635 | Athina-eleni G. Mavroudhis, Lmhc 23 Wight St Waltham MA 02452-7941 Ph: (781) 690-6635 |
| NPI Number | 1972006104 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972006104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6639 (Massachusetts) | Primary |
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