Healthcare Provider Details
I. General information
NPI: 1336058296
Provider Name (Legal Business Name): LAUREL THERAPY & CO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
221 MAIN ST STE N
NASHUA NH
03060-2913
US
IV. Provider business mailing address
PO BOX 1334
NEW LONDON NH
03257-1334
US
V. Phone/Fax
- Phone: 603-361-6179
- Fax:
- Phone: 603-361-6179
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MARY
MARGARET
HORAN
Title or Position: OWNER
Credential: LICSW
Phone: 603-361-6179