Healthcare Provider Details

I. General information

NPI: 1619871126
Provider Name (Legal Business Name): AUDREY REDMOND LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 MAIN ST STE N
NASHUA NH
03060-2913
US

IV. Provider business mailing address

221 MAIN ST STE N
NASHUA NH
03060-2913
US

V. Phone/Fax

Practice location:
  • Phone: 603-496-4742
  • Fax:
Mailing address:
  • Phone: 603-496-4742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5831
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: