LAKESIDE MENTAL HEALTH, PLLC is a psychiatric/mental health nurse practitioner in Lakeville, MA. LAKESIDE MENTAL HEALTH, PLLC NPI is 1619494168. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
104 CHARLES ELDRIDGE DRIVE STE 1
LAKEVILLE, MA
ZIP 02347-388
Phone: (774) 213-9332
The provider's authorized official is Emily-rose Montgomery Virden .
The authorized official title is Owner/ Nurse Practitioner and has the following contact phone number (774) 213-9332.
The enumeration date for this NPI number is 8/25/2017 and was last updated on 8/25/2017.