| Life Transitions Therapy, Llc | |
|
730 Boston Post Rd Unit Suite26 Sudbury MA 01776-3368 | |
| (508) 319-9056 | |
| Not Available |
| Full Name | Life Transitions Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 730 Boston Post Rd Unit Suite26, Sudbury, Massachusetts |
| Authorized Official Name and Position | Laci L Gentry (OWNER) |
| Authorized Official Contact | 5083199056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Transitions Therapy, Llc 45 Birch Rd Framingham MA 01701-3517 Ph: (508) 319-9056 | Life Transitions Therapy, Llc 730 Boston Post Rd Unit Suite26 Sudbury MA 01776-3368 Ph: (508) 319-9056 |
| NPI Number | 1588202345 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Medicare PECOS PAC ID | 8729417753 |
|---|---|
| Medicare Enrollment ID | O20200326001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588202345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laci Lucille Gentry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457540866 PECOS PAC ID: 9638508666 Enrollment ID: I20200326002168 |
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