Healthcare Provider Details
I. General information
NPI: 1619871332
Provider Name (Legal Business Name): LODESTAR COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
172 CHARLTON RD
SPENCER MA
01562-2802
US
IV. Provider business mailing address
172 CHARLTON RD
SPENCER MA
01562-2802
US
V. Phone/Fax
- Phone: 508-233-8138
- Fax:
- Phone: 508-233-8138
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
AMANDA
OWENS
Title or Position: OWNER
Credential: LICSW
Phone: 508-233-8138