=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699694000
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AATHERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2026
-----------------------------------------------------
Last Update Date | 07/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 BROADWAY AVE
-----------------------------------------------------
City | IPSWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01938-1709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-821-6343
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 BROADWAY AVE
-----------------------------------------------------
City | IPSWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01938-1709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-821-6343
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED INDEPENDENT CLINICAL SOCIA
-----------------------------------------------------
Name | ABIGAIL ALSAADI
-----------------------------------------------------
Credential | LICSW
-----------------------------------------------------
Telephone | 978-821-6343
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------