Dr. Tahira Lodge, PHD
Counselor, Mental Health in Jamaica Plain, Massachusetts
1245822113- Practice location
- 49 Robinwood Ave, Jamaica Plain, MA 02130-2156
- Phone
- 617-390-1220
- Fax
- 617-390-1595
- Last updated
- February 11, 2021
Tahira Lodge is a Counselor, Mental Health based in Jamaica Plain, MA. Tahira Lodge practices in Jamaica Plain, MA and has the professional credentials of PHD. The NPI Number for Tahira Lodge is 1245822113 and holds a License No. 7139 (MA). The current practice location address for Tahira Lodge is 49 Robinwood Ave, Jamaica Plain, MA 02130-2156 and can be reached out via phone at 617-390-1220 and via fax at 617-390-1595.
Provider Profile Details
- NPI Number
- 1245822113
- Provider Name
- Tahira Lodge
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 49 Robinwood Ave, Jamaica Plain, MA 02130-2156
- Phone Number
- 617-390-1220
- Fax Number
- 617-390-1595
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 11, 2021
- Last Update Date
- February 11, 2021
- Certification Date
- February 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Robinwood Ave
Jamaica Plain, MA 02130-2156 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-2156
- Phone Number
- 617-390-1220
- Fax Number
- 617-390-1595
Provider Business Mailing Address Details
- Address
- 76 Willowwood St
Dorchester, MA 02124-4030 - City
- Dorchester
- State
- MA
- Zip
- 02124-4030
- Phone Number
- 617-510-5957
License Information
- License Number
- 7139
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Jamaica Plain, MA
View all Counselor, Mental Health providers in Jamaica Plain →- Adrienne P De Vaughn, LSW, LMHCCounselor, Mental Health · NPI 1588206668
- Andrea V BermudezCounselor, Mental Health · NPI 1639031701
- Anne M BaroneCounselor, Mental Health · NPI 1538419163
- Annette B GeldzahlerCounselor, Mental Health · NPI 1568642858
- Anwar AlananzehCounselor, Mental Health · NPI 1558045161
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Frequently Asked Questions
What is the NPI number of Dr. Tahira Lodge, PHD?
The NPI number of Dr. Tahira Lodge, PHD is 1245822113. It was assigned on February 11, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Tahira Lodge, PHD?
Dr. Tahira Lodge, PHD is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 7139.
Where does Dr. Tahira Lodge, PHD practice?
The practice location is 49 Robinwood Ave, Jamaica Plain, MA 02130-2156. The office can be reached at 617-390-1220 (phone) or 617-390-1595 (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 1245822113 directly on the NPPES registry website.