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Heidi Lack, Phd, Atr-bc
Adolescent and Children Mental Health Clinic/Center in Lexington, Massachusetts
NPI 1740697523

Heidi Lack, Phd, Atr-bc is an Adolescent and Children Mental Health Clinic/Center based in Lexington, MA and is specialized in Adolescent and Children Mental Health. Heidi Lack, Phd, Atr-bc practices in Lexington, MA. The NPI Number for Heidi Lack, Phd, Atr-bc is 1740697523 and holds a License No. 7518 (Massachusetts).

The current practice location address for Heidi Lack, Phd, Atr-bc is 16 Clarke St Ste 23, Lexington, MA and can be reached out via phone at 781-863-8696.

Location: 16 Clarke St Ste 23, Lexington, MA, 02421-4938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740697523
Provider Name
Heidi Lack, Phd, Atr-bc
Credential
Provider Entity Type
Organization
Address
16 Clarke St Ste 23, Lexington, MA, 02421-4938
Phone Number
781-863-8696
Fax Number
Provider Enumeration Date
07/14/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16 Clarke St Ste 23
City
Lexington
State
Massachusetts
Zip
02421-4938
Phone Number
781-863-8696
Fax Number
person
Provider Business Mailing Address Details
Address
16 Clarke St Ste 23
City
Lexington
State
Massachusetts
Zip
02421-4938
Phone Number
781-863-8696
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
7518 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
7518 (Massachusetts)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
7518 (Massachusetts)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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