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General NPI Number Information
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NPI Number | 1316990658
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ASSOCIATION OF GREATER LOWELL, INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 99 CHURCH ST
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City | LOWELL
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State | MA
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Zip | 01852-2621
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Country | US
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Telephone | 978-458-6282
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Fax | 978-441-9826
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Provider Business Mailing Address
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Address Line | 99 CHURCH ST
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City | LOWELL
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State | MA
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Zip | 01852-2621
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Country | US
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Telephone | 978-458-6282
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Fax | 978-441-9826
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ALBERT H SCOTT
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Credential | LICSW
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Telephone | 978-458-6282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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