Provider Demographics
NPI:1750795266
Name:ROMANOWSKI, COURTNEY (LMHC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:ROMANOWSKI
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 1:18 EDGEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3814
Mailing Address - Country:US
Mailing Address - Phone:774-249-1704
Mailing Address - Fax:
Practice Address - Street 1:360 WOODLAND ST
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1826
Practice Address - Country:US
Practice Address - Phone:774-249-1704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10213101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health