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General NPI Number Information
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NPI Number | 1932277175
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Entity Type | Individual
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Provider Name | ALYSON ANDREWS ECKHOLT LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 77 E MERRIMACK ST SOUTH BAY MENTAL HEALTH SUITE 1
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City | LOWELL
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State | MA
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Zip | 01852
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Country | US
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Telephone | 978-453-6800
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Fax | 978-453-1428
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Provider Business Mailing Address
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Address Line | 2 ASHCROFT CIRCLE
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City | GROVELAND
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State | MA
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Zip | 01834
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Country | US
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Telephone | 978-702-4090
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4926
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License Number State | MA
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