Healthcare Provider Details

I. General information

NPI: 1043320690
Provider Name (Legal Business Name): CAROL ANNE SANTARPIO MA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 EAST MAIN ST
WESTBORO MA
01581
US

IV. Provider business mailing address

108 HILLSIDE VILLAGE DR
WEST BOYLSTON MA
01583
US

V. Phone/Fax

Practice location:
  • Phone: 508-366-0406
  • Fax: 508-366-6221
Mailing address:
  • Phone: 508-835-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5069
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: