# EATING DISORDER CENTER OF ANDOVER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962786004
- **Authorized official:** KARIN LEWIS LMFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (978) 475-1617

## Contact information

- **Practice address:** 68 MAIN ST, 5, ANDOVER, MA 01810-3846
- **Practice address phone:** (978) 475-1617
- **Practice address fax:** (978) 824-9600
- **Mailing address:** 68 MAIN ST, 5, ANDOVER, MA 01810-3846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1383 | MA | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/07/2011