Organization
LORI BADACH,LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI LEE BADACH LCSW (LICENSED CLINICAL SOCIAL WORKER)
(716) 331-0447
Entity
Organization
Contact information
Practice address
2240 NORTH FOREST ROAD, WILLIAMSVILLE, NY 14221-1422
(716) 331-0447
(716) 331-0447
Mailing address
59 WILLOWBROOK DR, ORCHARD PARK, NY 14127-4327
(716) 308-7056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R071801-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225454572
INDIVIDUAL NPI
—
Enumeration date
11/01/2017
Last updated
11/01/2017
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