Mrs. Lennon Micciulla, MA, LMFT
Student in an Organized Health Care Education/Training Program in Southamton, Massachusetts
1528690146- Practice location
- 20 Coleman RD, Southamton, MA 01073
- Phone
- 719-200-1776
- Fax
- —
- Last updated
- August 24, 2026
Lennon Micciulla is a Student in an Organized Health Care Education/Training Program based in Southamton, MA. Lennon Micciulla practices in Southamton, MA and has the professional credentials of MA, LMFT. The NPI Number for Lennon Micciulla is 1528690146. The current practice location address for Lennon Micciulla is 20 Coleman RD, Southamton, MA 01073 and can be reached out via phone at 719-200-1776.
Provider Profile Details
- NPI Number
- 1528690146
- Provider Name
- Lennon Micciulla
- Credential
- MA, LMFT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Coleman RD, Southamton, MA 01073
- Phone Number
- 719-200-1776
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Other Names
- Megan Whalin, MA, LMFT (Former Name)
- Provider Enumeration Date
- February 11, 2020
- Last Update Date
- August 24, 2026
- Certification Date
- August 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Coleman RD
Southamton, MA 01073 - City
- Southamton
- State
- Massachusetts
- Zip
- 01073
- Phone Number
- 719-200-1776
Provider Business Mailing Address Details
- Address
- 20 Coleman RD
Southamton, MA 01073 - City
- Southamton
- State
- MA
- Zip
- 01073
- Phone Number
- 719-200-1776
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Southamton, MA
View all Student in an Organized Health Care Education/Training Program providers in Southamton →Frequently Asked Questions
What is the NPI number of Mrs. Lennon Micciulla, MA, LMFT?
The NPI number of Mrs. Lennon Micciulla, MA, LMFT is 1528690146. It was assigned on February 11, 2020 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lennon Micciulla, MA, LMFT?
Mrs. Lennon Micciulla, MA, LMFT is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Mrs. Lennon Micciulla, MA, LMFT practice?
The practice location is 20 Coleman RD, Southamton, MA 01073. The office can be reached at 719-200-1776 (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 1528690146 directly on the NPPES registry website.