Provider Demographics
NPI:1700329893
Name:O'BRIEN, LAWRENCE E
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:E
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:
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 179
Mailing Address - Street 2:
Mailing Address - City:POCASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02559-0179
Mailing Address - Country:US
Mailing Address - Phone:774-408-0215
Mailing Address - Fax:774-302-4419
Practice Address - Street 1:3229 CRANBERRY HWY
Practice Address - Street 2:
Practice Address - City:BUZZARDS BAY
Practice Address - State:MA
Practice Address - Zip Code:02532-4734
Practice Address - Country:US
Practice Address - Phone:774-408-0215
Practice Address - Fax:774-302-4419
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health