Organization
LIFTING SPIRITS - HEALING MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANIE LEONARDO LMHC (CLINICIAN)
(774) 296-9898
Entity
Organization
Contact information
Practice address
10 PURCHASE ST STE 301, FALL RIVER, MA 02720-3100
(774) 296-9898
(888) 876-3055
Mailing address
46 RYANS WAY, SWANSEA, MA 02777-0417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9026
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295009983
—
MA
Enumeration date
08/28/2018
Last updated
08/28/2018
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