Provider Demographics
NPI:1598559890
Name:LAURA MORRISSETTE LLC
Entity type:Organization
Organization Name:LAURA MORRISSETTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:339-970-1460
Mailing Address - Street 1:150 FEARING ST STE 17
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1942
Mailing Address - Country:US
Mailing Address - Phone:339-970-1460
Mailing Address - Fax:
Practice Address - Street 1:150 FEARING ST STE 17
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1942
Practice Address - Country:US
Practice Address - Phone:339-970-1460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health