Ms. Leah S Randolph, LADC I, MM
Counselor, Addiction (Substance Use Disorder) in Dorchester, Massachusetts
1194034835- Practice location
- 21 Waumbeck St, Dorchester, MA 02121-1220
- Phone
- 617-291-3623
- Fax
- —
- Last updated
- September 29, 2010
Leah Susan Randolph is a Counselor, Addiction (Substance Use Disorder) based in Dorchester, MA. Leah Susan Randolph practices in Dorchester, MA and has the professional credentials of LADC I, MM. The NPI Number for Leah Susan Randolph is 1194034835. The current practice location address for Leah Susan Randolph is 21 Waumbeck St, Dorchester, MA 02121-1220 and can be reached out via phone at 617-291-3623.
Provider Profile Details
- NPI Number
- 1194034835
- Provider Name
- Leah Susan Randolph
- Credential
- LADC I, MM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Waumbeck St, Dorchester, MA 02121-1220
- Phone Number
- 617-291-3623
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 29, 2010
- Last Update Date
- September 29, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Waumbeck St
Dorchester, MA 02121-1220 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02121-1220
- Phone Number
- 617-291-3623
Provider Business Mailing Address Details
- Address
- 21 Waumbeck St
Dorchester, MA 02121-1220 - City
- Dorchester
- State
- MA
- Zip
- 02121-1220
- Phone Number
- 617-291-3623
License Information
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Leah S Randolph, LADC I, MM?
The NPI number of Ms. Leah S Randolph, LADC I, MM is 1194034835. It was assigned on September 29, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Leah S Randolph, LADC I, MM?
Ms. Leah S Randolph, LADC I, MM is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).
Where does Ms. Leah S Randolph, LADC I, MM practice?
The practice location is 21 Waumbeck St, Dorchester, MA 02121-1220. The office can be reached at 617-291-3623 (phone).
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 1194034835 directly on the NPPES registry website.