Provider Demographics
NPI:1285446997
Name:NATHAN LAPRADE, LLC
Entity type:Organization
Organization Name:NATHAN LAPRADE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:LAPRADE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-315-8867
Mailing Address - Street 1:PO BOX 10086
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01041-1686
Mailing Address - Country:US
Mailing Address - Phone:617-678-4069
Mailing Address - Fax:
Practice Address - Street 1:20 GILMAN ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2910
Practice Address - Country:US
Practice Address - Phone:617-678-4069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health