Provider Demographics
NPI:1962111617
Name:FURBISH, TRICIA
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:FURBISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 STRAFFORD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-4702
Mailing Address - Country:US
Mailing Address - Phone:603-366-1070
Mailing Address - Fax:603-366-1071
Practice Address - Street 1:HEALTH FIRST FAMILY CARE CENTER
Practice Address - Street 2:22 STRAFFORD STREET SUITE 1
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246
Practice Address - Country:US
Practice Address - Phone:603-366-1070
Practice Address - Fax:603-366-1071
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0430101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)