Organization
LIFESTREAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE MELLO (PRESIDENT & CEO)
(508) 993-1991
Entity
Organization
Contact information
Practice address
70 MILL RD, ACUSHNET, MA 02743-2658
(508) 993-1991
(508) 998-8626
Mailing address
PO BOX 50487, NEW BEDFORD, MA 02745-0017
(508) 993-1991
(508) 985-9073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/16/2020
Last updated
02/20/2026
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