Provider Demographics
NPI:1861139396
Name:JILLIAN CUNHA LMHC LLC
Entity type:Organization
Organization Name:JILLIAN CUNHA LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNHA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-249-0557
Mailing Address - Street 1:19 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-4207
Mailing Address - Country:US
Mailing Address - Phone:774-249-0557
Mailing Address - Fax:
Practice Address - Street 1:19 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-4207
Practice Address - Country:US
Practice Address - Phone:774-249-0557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1285873083OtherNPI