Organization
LILAC CITY COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA CONTARINO PH D (PRESIDENT)
(603) 332-4004
Entity
Organization
Contact information
Practice address
163 ROCHESTER HILL RD., ROCHESTER, NH 03867
(603) 743-4004
(603) 743-4115
Mailing address
163 ROCHESTER HILL RD., ROCHESTER, NH 03867
(603) 743-4004
(603) 743-4115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001105
AETNA
—
01
—
485449000
MAGELLAN
—
01
—
532057
VALUE OPTIONS
—
01
—
6566541
CIGNA
—
Enumeration date
02/02/2007
Last updated
05/06/2019
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