MEDICARE: LUCIA ALINA BARBOSA LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	12093	MA
3	171M00000X	Case Manager/Care Coordinator
4	101YM0800X	Mental Health Counselor	12093	MA

General Provider Information

NPI Number	:	1871825190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIA ALINA BARBOSA LMHC

Provider Business Mailing Address
First Line	:	408 TECHNOLOGY CENTER DR UNIT 5420
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-4742
Country	:	US
Telephone Number	:	857-770-8285
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 TECHNOLOGY CENTER DR UNIT 5420
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-4742
Country	:	US
Telephone Number	:	857-770-8285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2010
Last Update Date	:	10/16/2024

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