Healthcare Provider Details

I. General information

NPI: 1487245320
Provider Name (Legal Business Name): ELIZABETH SEARS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 ERDMAN WAY STE 208
LEOMINSTER MA
01453-1840
US

IV. Provider business mailing address

30 PONDEROSA DR
TOWNSEND MA
01469-1321
US

V. Phone/Fax

Practice location:
  • Phone: 978-870-1840
  • Fax:
Mailing address:
  • Phone: 978-549-5279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: