Healthcare Provider Details

I. General information

NPI: 1255506382
Provider Name (Legal Business Name): BARBARA LADDAGA LMHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 NARROWS RD SUITE 205-4
WESTMINSTER MA
01473-1676
US

IV. Provider business mailing address

2 NARROWS RD SUITE 205-4
WESTMINSTER MA
01473-1676
US

V. Phone/Fax

Practice location:
  • Phone: 978-337-4694
  • Fax: 978-433-1903
Mailing address:
  • Phone: 978-337-4694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4075
License Number StateMA

VIII. Authorized Official

Name: BARBARA LADDAGA
Title or Position: OWNER
Credential: LMHC
Phone: 978-337-4694