Organization · Type 2 NPI

Northeast Independent Living Program Inc

Counselor · Lawrence, MA

NPI number 1003936774 Active

Practice location

20 Ballard Rd
Lawrence, MA 01843-1018

Fax (978) 689-4488

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Home Health Agency 251E00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

About NPI 1003936774

Northeast Independent Living Program Inc's National Provider Identifier is 1003936774, issued on Mar 29, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawrence, MA. The record was last updated on Aug 14, 2026.