Healthcare Provider Details

I. General information

NPI: 1205998143
Provider Name (Legal Business Name): HOLLY A LINDGREN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 EAST RD
WESTMINSTER MA
01473-1631
US

IV. Provider business mailing address

40 EAST RD
WESTMINSTER MA
01473-1631
US

V. Phone/Fax

Practice location:
  • Phone: 978-807-5918
  • Fax:
Mailing address:
  • Phone: 978-807-5918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5356
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: