Lexus Elizabeth Andrade

Individual provider Active NPI Peer Specialist · New Bedford, MA

NPI 1285247288 · NPPES record last updated Aug 28, 2020

Key facts

NPI
1285247288
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
543 North St
New Bedford, MA 02740-2782
Phone
(508) 984-5566
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

543 North St
New Bedford, MA 02740-2782

Mailing address

25 Devoll St
New Bedford, MA 02740-2128
Phone (508) 734-0260

Other providers in New Bedford, MA

All providers in New Bedford, MA · Peer Specialist in Massachusetts

Sources for this page

Verify at the official NPI Registry.