Provider Demographics
NPI:1366783615
Name:O'SHEA, ELLEN (LCMHC)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3312
Mailing Address - Country:US
Mailing Address - Phone:603-821-7788
Mailing Address - Fax:603-821-5620
Practice Address - Street 1:45 HIGH STREET
Practice Address - Street 2:HARBOR CARE HEALTH AND WELLNESS CENTER
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3312
Practice Address - Country:US
Practice Address - Phone:603-821-7788
Practice Address - Fax:603-821-5620
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health