Organization
LIFE TRANSITIONS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACI L GENTRY LICSW (OWNER)
(508) 319-9056
Entity
Organization
Contact information
Practice address
730 BOSTON POST RD UNIT SUITE26, SUDBURY, MA 01776-3368
(508) 319-9056
Mailing address
45 BIRCH RD, FRAMINGHAM, MA 01701-3517
(508) 319-9056
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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