HEADREST NPI 1831373356

NPI Information

NPI: 1831373356
Provider Name: HEADREST
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
141 MASCOMA ST
LEBANON, NH
ZIP 03766
Phone: (603) 448-4872
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HEADREST is an addiction (substance use disorder) counselor in Lebanon, NH. HEADREST NPI is 1831373356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

141 MASCOMA ST
LEBANON, NH
ZIP 03766
Phone: (603) 448-4872
Fax: (603) 727-9353

The provider's authorized official is Eric Harbeck .
The authorized official title is Clinical Director and has the following contact phone number (603) 448-4872.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 4/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	324500000X	Substance Abuse Rehabilitation Facility				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3098319	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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