Provider Demographics
NPI:1396096590
Name:PARTNERS IN THERAPY
Entity type:Organization
Organization Name:PARTNERS IN THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:SHEEHAN
Authorized Official - Last Name:BUTTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-984-5748
Mailing Address - Street 1:1 BRANCH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1923
Mailing Address - Country:US
Mailing Address - Phone:978-984-5748
Mailing Address - Fax:978-824-2534
Practice Address - Street 1:1 BRANCH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1923
Practice Address - Country:US
Practice Address - Phone:978-984-5748
Practice Address - Fax:978-824-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10276521041C0700X
MA1118131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP24214Medicare PIN