| Lifewalk | |
|
19 Washington St Concord NH 03301-4341 | |
| (941) 875-4338 | |
| Not Available |
| Full Name | Lifewalk |
|---|---|
| Speciality | Counselor |
| Location | 19 Washington St, Concord, New Hampshire |
| Authorized Official Name and Position | Lori Olson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9418754338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifewalk 19 Washington St Concord NH 03301-4341 Ph: (941) 875-4338 | Lifewalk 19 Washington St Concord NH 03301-4341 Ph: (941) 875-4338 |
| NPI Number | 1679017966 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679017966 | NPI | - | NPPES |
| 1068 | Other | NH | LCMHC NUMBER |
| 12533 | Other | FL | LMHC NUMBER |
| 12727367 | Other | CAQH | |
| 1003230269 | Other | NPI INDIVIDUAL NUMBER | |
| 3098584 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1068 (New Hampshire) | Primary |
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