Active NPIIndividual providerSole proprietor

Ms. Anne S Deboalt, LMHC, CCMHC

Counselor in Harvard, Massachusetts

NPI Number1912143447
Practice location
79 Shaker Road, Harvard, MA 04151
Fax
978-371-2597
Last updated
May 25, 2012

Anne Spengler Deboalt is a Counselor based in Harvard, MA. Anne Spengler Deboalt practices in Harvard, MA and has the professional credentials of LMHC, CCMHC. The NPI Number for Anne Spengler Deboalt is 1912143447 and holds a License No. 83-CC (MA). The current practice location address for Anne Spengler Deboalt is 79 Shaker Road, Harvard, MA 04151 and can be reached out via phone at 978-772-3968 and via fax at 978-371-2597.

Provider Profile Details

NPI Number
1912143447
Provider Name
Anne Spengler Deboalt
Credential
LMHC, CCMHC
Provider Entity Type
Individual
Gender
Female
Address
79 Shaker Road, Harvard, MA 04151
Phone Number
978-772-3968
Fax Number
978-371-2597
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2009
Last Update Date
May 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
79 Shaker Road
Harvard, MA 04151
Zip
04151
Phone Number
978-772-3968
Fax Number
978-371-2597
Harvard, MA 04151Get directions →

Provider Business Mailing Address Details

Address
79 Shaker Road
Harvard, MA 01451
City
Harvard
State
MA
Zip
01451
Phone Number
978-772-3968
Fax Number
978-371-2597

License Information

License Number (1)
83-CC
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
#83LMHC
License State (2)
MA
Taxonomy (2)
Counselor · 101Y00000X · Primary
License Number (3)
#83#32529
License State (3)
MA
Taxonomy (3)
Counselor, Mental Health · 101YM0800X

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 Ms. Anne S Deboalt, LMHC, CCMHC?

The NPI number of Ms. Anne S Deboalt, LMHC, CCMHC is 1912143447. It was assigned on January 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Anne S Deboalt, LMHC, CCMHC?

Ms. Anne S Deboalt, LMHC, CCMHC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in MA under license number 83-CC.

Where does Ms. Anne S Deboalt, LMHC, CCMHC practice?

The practice location is 79 Shaker Road, Harvard, MA 04151. The office can be reached at 978-772-3968 (phone) or 978-371-2597 (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 1912143447 directly on the NPPES registry website.

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