Allison Violet Carey, LMFT, LFYP-1

Individual provider Active NPI Marriage & Family Therapist · Keene, NH

NPI 1306132519 · NPPES record last updated Oct 22, 2020

Key facts

NPI
1306132519
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
140 (NH)
Practice address
63 Emerald St # 102
Keene, NH 03431-3626
Phone
(603) 903-1414
Fax
(833) 693-0222
NPI assigned
Jun 26, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
140NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Balance Therapy Center P.L.L.C Marriage & Family Therapist Current
since Aug 1, 2020
Accepting new patients

Locations

441 Main St
Keene, NH 03431
Phone (603) 357-3565

63 Emerald St
Keene, NH 03431
Phone (401) 216-5243

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 140 NH Yes

Addresses

Primary practice location

63 Emerald St # 102
Keene, NH 03431-3626

Mailing address

63 Emerald St # 102
Keene, NH 03431-3626
Phone (603) 903-1414

Other identifiers

IdentifierTypeStateIssuer
3071921MedicaidNH

Other providers in Keene, NH

All providers in Keene, NH · Marriage & Family Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.