Provider Demographics
NPI:1215618210
Name:EMH ASSOCIATES, PLLC
Entity type:Organization
Organization Name:EMH ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:FAGONE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-256-7616
Mailing Address - Street 1:640 ANDOVER ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1532
Mailing Address - Country:US
Mailing Address - Phone:617-256-7616
Mailing Address - Fax:
Practice Address - Street 1:2 DUNDEE PARK DR STE 301
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3725
Practice Address - Country:US
Practice Address - Phone:617-256-7616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty