Provider Demographics
NPI:1730363771
Name:CIRELLI, ELIZABETH (LMHC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CIRELLI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 RUSSELL STREET
Mailing Address - Street 2:SUITE 30
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-0000
Mailing Address - Country:US
Mailing Address - Phone:978-679-1200
Mailing Address - Fax:
Practice Address - Street 1:119 RUSSELL STREET
Practice Address - Street 2:SUITE 30
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-0000
Practice Address - Country:US
Practice Address - Phone:978-679-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health