Active NPIIndividual providerSole proprietor

Alisha H Khoury-Boucher, MED, LADC I, CADC

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

NPI Number1447847918
Practice location
21 Kingsley St, Springfield, MA 01104-2711
Fax
—
Last updated
December 30, 2020

Alisha Helen Khoury-Boucher is a Counselor, Addiction (Substance Use Disorder) based in Springfield, MA. Alisha Helen Khoury-Boucher practices in Springfield, MA and has the professional credentials of MED, LADC I, CADC. The NPI Number for Alisha Helen Khoury-Boucher is 1447847918. The current practice location address for Alisha Helen Khoury-Boucher is 21 Kingsley St, Springfield, MA 01104-2711 and can be reached out via phone at 413-530-0741.

Provider Profile Details

NPI Number
1447847918
Provider Name
Alisha Helen Khoury-Boucher
Credential
MED, LADC I, CADC
Provider Entity Type
Individual
Gender
Female
Address
21 Kingsley St, Springfield, MA 01104-2711
Phone Number
413-530-0741
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2020
Last Update Date
December 30, 2020
Certification Date
December 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Kingsley St
Springfield, MA 01104-2711
Zip
01104-2711
Phone Number
413-530-0741
Springfield, MA 01104Get directions →

Provider Business Mailing Address Details

Address
21 Kingsley St
Springfield, MA 01104-2711
City
Springfield
State
MA
Zip
01104-2711
Phone Number
413-530-0741

License Information

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 Alisha H Khoury-Boucher, MED, LADC I, CADC?

The NPI number of Alisha H Khoury-Boucher, MED, LADC I, CADC is 1447847918. It was assigned on December 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Alisha H Khoury-Boucher, MED, LADC I, CADC?

Alisha H Khoury-Boucher, MED, LADC I, CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Alisha H Khoury-Boucher, MED, LADC I, CADC practice?

The practice location is 21 Kingsley St, Springfield, MA 01104-2711. The office can be reached at 413-530-0741 (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 1447847918 directly on the NPPES registry website.

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