MEDICARE: AMY KEHOE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265928642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY KEHOE LMHC

Provider Business Mailing Address
First Line	:	31 CARLISLE ST
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-2932
Country	:	US
Telephone Number	:	978-758-7751
Fax Number	:

Provider Business Practice Location Address
First Line	:	869 TURNPIKE ST UNIT 210-212
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6151
Country	:	US
Telephone Number	:	978-234-8911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2018
Last Update Date	:	06/10/2024

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