Healthcare Provider Details

I. General information

NPI: 1326230152
Provider Name (Legal Business Name): ELAINE CAMILLE CAHILL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 08/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 MILLBURY ST
AUBURN MA
01501-3205
US

IV. Provider business mailing address

48 CLUBHOUSE WAY
SUTTON MA
01590-2443
US

V. Phone/Fax

Practice location:
  • Phone: 508-832-9691
  • Fax: 508-832-7670
Mailing address:
  • Phone: 508-865-1650
  • Fax: 508-832-7670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4339
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: