Active NPIIndividual providerSole proprietor

Dominic J Liantonio, LMHC

Counselor, Addiction (Substance Use Disorder) in Southbridge, Massachusetts

NPI Number1073662367
Practice location
29 Pine St, Southbridge, MA 01550-1823
Fax
508-764-2462
Last updated
November 20, 2008

Dominic J Liantonio is a Counselor, Addiction (Substance Use Disorder) based in Southbridge, MA. Dominic J Liantonio practices in Southbridge, MA and has the professional credentials of LMHC. The NPI Number for Dominic J Liantonio is 1073662367 and holds a License No. 5151 (MA). The current practice location address for Dominic J Liantonio is 29 Pine St, Southbridge, MA 01550-1823 and can be reached out via phone at 508-764-9167 and via fax at 508-764-2462.

Provider Profile Details

NPI Number
1073662367
Provider Name
Dominic J Liantonio
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
29 Pine St, Southbridge, MA 01550-1823
Phone Number
508-764-9167
Fax Number
508-764-2462
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
January 9, 2007
Last Update Date
November 20, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
Zip
01550-1823
Phone Number
508-764-9167
Fax Number
508-764-2462
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
29 Pine Street
Southbridge, MA 01550
City
Southbridge
State
MA
Zip
01550
Phone Number
508-765-9167
Fax Number
508-764-2462

License Information

License Number
5151
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dominic J Liantonio, LMHC?

The NPI number of Dominic J Liantonio, LMHC is 1073662367. It was assigned on January 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Dominic J Liantonio, LMHC?

Dominic J Liantonio, LMHC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 5151.

Where does Dominic J Liantonio, LMHC practice?

The practice location is 29 Pine St, Southbridge, MA 01550-1823. The office can be reached at 508-764-9167 (phone) or 508-764-2462 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073662367 directly on the NPPES registry website.

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