Healthcare Provider Details

I. General information

NPI: 1245745082
Provider Name (Legal Business Name): PAUL GEUEL ADRIANO LISON LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 09/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 ROBBS HILL RD
LUNENBURG MA
01462-2167
US

IV. Provider business mailing address

132 ROBBS HILL RD
LUNENBURG MA
01462-2167
US

V. Phone/Fax

Practice location:
  • Phone: 978-413-8867
  • Fax: 508-861-0206
Mailing address:
  • Phone: 978-413-8867
  • Fax: 508-861-0206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number224598
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: