LIFE ENHANCEMENT PSYCHOTHERAPY LLC (NPI# 1578862272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578862272 |
| Entity Type | Organization |
| Organization Name | LIFE ENHANCEMENT PSYCHOTHERAPY LLC |
| Practice Address |
427 Columbia Rd Ste 108 Hanover MA 02339 |
| Mailing Address |
Po Box 934 Hanover MA 02339-0934 |
| Practice Telephone | 6175525124 |
| Mailing Telephone | 6175525124 |
| Mailing Fax Number | 8883172641 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | DR. LESHELLE WOODARD (PSYCHOLOGIST) |
| Authorized Official Telephone | 6175525124 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 115940 | MA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8649 | MA | Behavioral Health & Social Service Providers |
| Street Address |
427 COLUMBIA RD STE 108 |
| City | HANOVER |
| State | MA |
| Zip Code | 02339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164816724 | Yelena Zelikman | Counselor | 427 Columbia Rd Ste 108, Hanover, MA 02339-3213 | 2015-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1124306220 | Cynthia Kay Wisted | Physical Therapist | 645 Washington St, Hanover, MA 02339 | 2011-07-25 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1396067427 | Leslie Anne Powers | Marriage & Family Therapist | 51 Mill Street, Suite 8, Hanover, MA 02339 | 2010-02-16 |
| 1871824912 | Mary Teresa Egan | Acupuncturist | 222 Webster Street, Hanover, MA 02339 | 2010-01-28 |
| 1669604393 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1167 Washington St, Hanover, MA 02339 | 2009-08-13 |
| 1720248404 | Louis J Vanrenen | Acupuncturist | American Acupuncture, 171 Rockland Street, Hanover, MA 02339 | 2008-06-16 |
| 1629245204 | Jeanne M Christianson | Acupuncturist | Harmony Wellness Center, 51 Mill Street #8, Hanover, MA 02339 | 2008-05-13 |
| 1811188105 | Delia Fox D.b.a. Delias Wigs & Coiffures, Inc | Prosthetic/Orthotic Supplier | 47 Pantooset Rd, Hanover, MA 02339 | 2007-08-05 |
| Find all providers in zip 02339 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033472188 | Aida Cajdric-vrhovac | Psychologist | 24 Rockland St Ste 7, Hanover, MA 02339-2226 | 2012-06-22 |
| 1568592939 | Demetra Rabiecki Lacrosse | Psychologist | 7 Allen St Fl 3, Hanover, NH 03755-2065 | 2007-03-06 |
| 1780722207 | Paul Robert Clavelle | Psychologist | 7272 Park Circle Dr, Suite 170, Hanover, MD 21076-1303 | 2007-02-05 |
| 1164535530 | Thomas B. Gamble | Psychologist | 41 Lebanon St, Hanover, NH 03755-2147 | 2006-08-17 |
| 1417060963 | Raymond J. Chin | Psychologist | 43 Lebanon St, Hanover, NH 03755-2513 | 2006-08-17 |
| 1821480401 | Joseph Carl Langone | Psychologist | 17 Church St, Hanover, MA 02339-2315 | 2015-02-19 |
| 1598005845 | Shanna Treworgy | Psychologist | 23 S Main St, Suite 2b, Hanover, NH 03755-2075 | 2013-02-25 |
| 1467734236 | Keri Lee Height | Psychologist | 23 S Main St, Suite 2b, Hanover, NH 03755-2075 | 2011-09-16 |
| 1376861617 | Lyndon J. Aguiar | Psychologist | 10515 Cabaniss Ln, Hanover, VA 23069-1840 | 2010-05-11 |
| 1710160650 | Seoka A. Salstrom | Psychologist | 45 Lyme Rd, Suite 305a, Hanover, NH 03755 | 2007-12-13 |
| Find all providers in HANOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.