| Organization Name: | LAFAYETTE COUNSELING CENTER, LLC |
| NPI Number: | 1083745582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE ROBERTS STOLER (DR) |
| Mailing Address: | 87 Washington St Boxford |
| State: | MA US |
| Postal Code: | 019211240 |
| Phone Number: | 9783528269 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 12/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TE1100X |
| License Number: | 2229 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Exercise & Sports |
| Taxonomy Definition: | |