Provider Demographics
NPI:1386888196
Name:BETWEEN US ASSOCIATES PLLC
Entity type:Organization
Organization Name:BETWEEN US ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HASSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:603-370-8024
Mailing Address - Street 1:153 OLD HEDDING RD
Mailing Address - Street 2:UNIT 13
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2344
Mailing Address - Country:US
Mailing Address - Phone:603-370-8024
Mailing Address - Fax:
Practice Address - Street 1:754 CHESTNUT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3012
Practice Address - Country:US
Practice Address - Phone:978-804-0667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH651101YM0800X
NH69106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1730265935OtherINDIVIDUAL NPI FOR CHRISTINE LAVOIE
1134333131OtherINDIVIDUAL NPI FOR SHAWN HASSELL
NH30424646Medicaid