Organization
ELEMENTAL INTUITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY BOUDREAU LICSW (FOUNDER AND OWNER)
(978) 575-4175
Entity
Organization
Contact information
Practice address
585 E RIVER ST, ORANGE, MA 01364-1811
(978) 575-4175
Mailing address
585 E RIVER ST, ORANGE, MA 01364-1811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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