Provider Demographics
NPI:1396629606
Name:LAVOIE, RENEE HELEN
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:HELEN
Last Name:LAVOIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 OLD COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:DEERING
Mailing Address - State:NH
Mailing Address - Zip Code:03244-6349
Mailing Address - Country:US
Mailing Address - Phone:603-933-2134
Mailing Address - Fax:
Practice Address - Street 1:200 GRIFFIN RD STE 1
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7145
Practice Address - Country:US
Practice Address - Phone:603-933-2134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician