Shelly Becker

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · West Lebanon, NH

NPI 1861038580 · NPPES record last updated Nov 19, 2019

Key facts

NPI
1861038580
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
254 Plainfield Rd
West Lebanon, NH 03784-2001
Phone
(603) 298-2146
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Habit Opco, LLC Past
since Nov 24, 2019
Accepting new patients
Habit Opco, LLC Past
since Nov 24, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

254 Plainfield Rd
West Lebanon, NH 03784-2001

Mailing address

254 Plainfield Rd
West Lebanon, NH 03784-2001
Phone (603) 298-2146

Other providers in West Lebanon, NH

All providers in West Lebanon, NH · Addiction (Substance Use Disorder) Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.