Provider Demographics
NPI:1063566545
Name:LIMONIC, RAQUEL (LMHC)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:LIMONIC
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 BEACON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4084
Mailing Address - Country:US
Mailing Address - Phone:617-277-4344
Mailing Address - Fax:617-277-4515
Practice Address - Street 1:1018 BEACON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4084
Practice Address - Country:US
Practice Address - Phone:617-277-4344
Practice Address - Fax:617-277-4515
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC188101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health