Organization
ELLY HUMPHREY LMHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSIA HUMPHREY (OWNER)
(508) 340-7828
Entity
Organization
Contact information
Practice address
17 LOWDEN AVE APT 1, SOMERVILLE, MA 02144-2158
(508) 340-7828
Mailing address
17 LOWDEN AVE APT 1, SOMERVILLE, MA 02144-2158
(508) 340-7828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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