Organization Name: | LIFESTRANDS COUNSELING SERVICES, PLLC |
NPI Number: | 1306046784 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CELIA G OLIVER (PSYCHOLOGIST) |
Mailing Address: | 45 Main St Suite 201 Peterborough |
State: | NH US |
Postal Code: | 034582447 |
Phone Number: | 6039246400 |
Fax Number: | 6039246437 |
NPI Enumeration Date: | 07/23/2007 |
NPI Last Update Date: | 07/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |