Provider Demographics
NPI:1447507926
Name:SUCHY, ELIZABETH MARY (LMHC, MT-BC, HPMT)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:MARY
Last Name:SUCHY
Suffix:
Gender:F
Credentials:LMHC, MT-BC, HPMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 452
Mailing Address - Street 2:136 HAVEN STREET
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3915
Mailing Address - Country:US
Mailing Address - Phone:781-315-6822
Mailing Address - Fax:
Practice Address - Street 1:136 HAVEN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2986
Practice Address - Country:US
Practice Address - Phone:781-315-6822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
08867225A00000X
MA9719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist