Lori Drahota, BA

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

NPI 1609059773 · NPPES record last updated Dec 12, 2007

Key facts

NPI
1609059773
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
1145 Sagamore Ave
Portsmouth, NH 03801-5503
Phone
(603) 431-6703
NPI assigned
Dec 12, 2007
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
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Mental Health Center, Inc. Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

1145 Sagamore Ave
Portsmouth, NH 03801-5503

Mailing address

1145 Sagamore Ave
Portsmouth, NH 03801-5503
Phone (603) 431-6703

Other identifiers

IdentifierTypeStateIssuer
99003227MedicaidNH
7706655Y0NH01OtherNHBHN #
NH3227OtherNHMEDICARE

Other providers in Portsmouth, NH

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

Sources for this page

Verify at the official NPI Registry.