Lily Mahan Andrews

Individual provider Active NPI Mental Health Counselor · Roxbury, MA

NPI 1831870823 · NPPES record last updated Jul 31, 2023

Key facts

NPI
1831870823
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
504 Dudley St
Roxbury, MA 02119-2732
Phone
(617) 445-6655
NPI assigned
Jul 31, 2023
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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Services of Roxbury Mental Health Current
since Aug 6, 2023
Accepting new patients

Locations

504 Dudley St
Roxbury, MA 02119
Phone (617) 445-6655

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

504 Dudley St
Roxbury, MA 02119-2732

Mailing address

504 Dudley St
Roxbury, MA 02119-2732
Phone (978) 500-9506

Other providers in Roxbury, MA

All providers in Roxbury, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.