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Organization
LILAC BEHAVIORAL HEALTH PLLC
Active
Organization
LILAC BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA MADRID PMHNP-BC (PMHNP)
(508) 479-2969
Entity
Organization
Contact information
Practice address
105 SANBORN ST, FITCHBURG, MA 01420-3756
(508) 479-2969
(978) 506-1759
Mailing address
105 SANBORN ST, FITCHBURG, MA 01420-3756
(508) 479-2969
(978) 506-1759
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2026
Last updated
09/16/2026
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