Healthcare Provider Details
I. General information
NPI: 1396131355
Provider Name (Legal Business Name): HEALTHY PERSPECTIVES-INNOVATIVE MENTAL HEALTH SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2015
Last Update Date: 06/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 TEMPLE ST SUITE 105
NASHUA NH
03060-3449
US
IV. Provider business mailing address
30 TEMPLE ST SUITE 105
NASHUA NH
03060-3449
US
V. Phone/Fax
- Phone: 603-880-9880
- Fax: 603-402-9727
- Phone: 603-880-9880
- Fax: 603-402-9727
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP0016X |
| Taxonomy | Prescribing (Medical) Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NOREEN
LABATT
Title or Position: BILLING SPECIALIST
Credential:
Phone: 603-880-9880