Mia Lise Carbone, M.A., LMHC
Individual provider Active NPI Professional Counselor · Hudson, MA
NPI 1386701340 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386701340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1270 (MA)
- Practice address
- 22 Manning St
Hudson, MA 01749-2201 - Phone
- (978) 235-2335
- NPI assigned
- Jan 2, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1270 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1270 | MA | Yes |
Addresses
Primary practice location
22 Manning St
Hudson, MA 01749-2201
Mailing address
22 Manning St
Hudson, MA 01749-2201
Phone (978) 235-2335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1270 | Other | MA | LMHC |
Other providers in Hudson, MA
- Jennifer L Cabral
- Steven J Cabral
- James John Calandrillo
- Katherine Capellan
- Bobbi Jo Cappuccio
- Lyndsey Carbonneau-Laporte
- Jerry G. Cardillo
- Ana Rita Bastos de Sena Carneiro
- Shannon Carpentier
- Moira Carter
All providers in Hudson, MA · Professional Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.