MEDICARE: MRS. ANGELA LEE BRIGGS M.S., LMHC, LMFT

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	5389	MA
2	106H00000X	Marriage & Family Therapist	1248	MA

General Provider Information

NPI Number	:	1548297336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA LEE BRIGGS M.S., LMHC, LMFT

Provider Business Mailing Address
First Line	:	104 CHARLES ELDRIDGE RD
Second Line	:
City	:	LAKEVILLE
State	:	MA
Zip	:	02347-1388
Country	:	US
Telephone Number	:	508-470-1901
Fax Number	:	508-283-1990

Provider Business Practice Location Address
First Line	:	104 CHARLES ELDRIDGE RD
Second Line	:
City	:	LAKEVILLE
State	:	MA
Zip	:	02347-1388
Country	:	US
Telephone Number	:	508-470-1901
Fax Number	:	508-283-1990

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	10/14/2011

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