Provider Demographics
NPI:1699286047
Name:CHRISTINE H. CRONIN, LMHC LLC
Entity type:Organization
Organization Name:CHRISTINE H. CRONIN, LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CRONIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-260-1971
Mailing Address - Street 1:111 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1880
Mailing Address - Country:US
Mailing Address - Phone:774-260-1971
Mailing Address - Fax:877-308-2202
Practice Address - Street 1:111 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-1880
Practice Address - Country:US
Practice Address - Phone:774-260-1971
Practice Address - Fax:877-308-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10159101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty