Provider Demographics
NPI:1871825190
Name:BARBOSA, LUCIA ALINA (LMHC)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:ALINA
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:LUCIA
Other - Middle Name:ALINA
Other - Last Name:BARBOSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:408 TECHNOLOGY CENTER DR UNIT 5420
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-4742
Mailing Address - Country:US
Mailing Address - Phone:857-770-8285
Mailing Address - Fax:
Practice Address - Street 1:408 TECHNOLOGY CENTER DR UNIT 5420
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-4742
Practice Address - Country:US
Practice Address - Phone:857-770-8285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
MA12093101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator