Provider Demographics
NPI:1730060310
Name:HERMITT-MCPHERSON, ALTHEA AUDETT (LMHC)
Entity type:Individual
Prefix:
First Name:ALTHEA
Middle Name:AUDETT
Last Name:HERMITT-MCPHERSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 BARRE PAXTON RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-1242
Mailing Address - Country:US
Mailing Address - Phone:774-386-1126
Mailing Address - Fax:
Practice Address - Street 1:196 BARRE PAXTON RD
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-1242
Practice Address - Country:US
Practice Address - Phone:774-386-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10004616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty