Loren Stott, MS ED
Individual provider Active NPI Community/Behavioral Health Agency · Centerville, MA
NPI 1700337235 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1700337235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 371451 (MA)
- Practice address
- 889 W Main St
Centerville, MA 02632-3067 - Phone
- (508) 771-2402
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 371451 | MA | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Resource Institute | Community/Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 371451 | MA | Yes |
Addresses
Primary practice location
889 W Main St
Centerville, MA 02632-3067
Mailing address
10 E Main St
Middleboro, MA 02346-2412
Phone (978) 549-0080
Other providers in Centerville, MA
- Tara Simpson
- Pamela Ann Smith
- Judith Begelfer Sonner
- Ella Jane Stanley
- Katherine Elizabeth Stewart
- Elizabeth Clare Stpierre
- Patricia Sullivan
- TDHC Counseling Services
- Teresa Allen
- Kristin Elizabeth Terkelsen
All providers in Centerville, MA · Community/Behavioral Health Agency in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2016. 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.