| Lexintegrative Psychotherapy, Llc | |
|
807 Massachusetts Ave Lexington MA 02420-3907 | |
| (617) 855-7633 | |
| Not Available |
| Full Name | Lexintegrative Psychotherapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 807 Massachusetts Ave, Lexington, Massachusetts |
| Authorized Official Name and Position | Ellen Sophis Gillespie (OWNER) |
| Authorized Official Contact | 6178557633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexintegrative Psychotherapy, Llc 807 Massachusetts Ave Lexington MA 02420-3907 Ph: (617) 855-7633 | Lexintegrative Psychotherapy, Llc 807 Massachusetts Ave Lexington MA 02420-3907 Ph: (617) 855-7633 |
| NPI Number | 1417596123 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 12/27/2019 |
| Certification Date | 12/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417596123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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