MEDICARE: SELENA J HERBERT LCMHC

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		NH

General Provider Information

NPI Number	:	1942085329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELENA J HERBERT LCMHC

Provider Business Mailing Address
First Line	:	8 PRIMROSE DR
Second Line	:
City	:	TILTON
State	:	NH
Zip	:	03276-5775
Country	:	US
Telephone Number	:	603-491-9535
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 ELM ST STE 103
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-2919
Country	:	US
Telephone Number	:	888-224-7312
Fax Number	:

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

Provider Enumeration Date	:	08/25/2023
Last Update Date	:	02/06/2026

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