Provider Demographics
NPI:1962974949
Name:CENTER PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:CENTER PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LALLY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:781-218-2377
Mailing Address - Street 1:540 MAIN ST STE 14
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2940
Mailing Address - Country:US
Mailing Address - Phone:781-218-2377
Mailing Address - Fax:781-218-2377
Practice Address - Street 1:540 MAIN ST STE 14
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2940
Practice Address - Country:US
Practice Address - Phone:781-218-2377
Practice Address - Fax:781-218-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-01
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)