Lusa, Mary Lou
Lusa, Mary Lou is an sole proprietor health care provider with primary practice located at 143 Shaker Rd , East Longmeadow MA 01028-2786. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lusa, Mary Lou can be contacted via phone (413) 525-1711.Contact Information
Primary practice address
143 Shaker Rd
East Longmeadow MA 01028-2786
Phone: (413) 525-1711
Fax: (413) 525-1711
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1684 | Massachusetts |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 636 | Massachusetts |
Profile Details
NPI number | 1689730731 |
---|---|
LBN Legal business name | Lusa, Mary Lou |
Credentials | M.S., LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 30th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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