Lyndsay Famariss

Individual provider Active NPI Mental Health Counselor · Oak Bluffs, MA

NPI 1477090553 · NPPES record last updated Jan 26, 2017

Key facts

NPI
1477090553
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
111 Edgartown Road
Oak Bluffs, MA 02557-5434
Phone
(508) 693-7900
Fax
(508) 696-0401
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martha'S Vineyard Community Services, Inc. Mental Health Past
since Jul 1, 2008
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

111 Edgartown Road
Oak Bluffs, MA 02557-5434

Mailing address

298 Franklin St
Vineyard Haven, MA 02568-5434
Phone (508) 693-7900

Other providers in Oak Bluffs, MA

All providers in Oak Bluffs, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.