Provider Demographics
NPI:1689492423
Name:ATMA PREMA HEALING LLC
Entity type:Organization
Organization Name:ATMA PREMA HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LIPPI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-410-8034
Mailing Address - Street 1:170 BEACH RD UNIT 59
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-2263
Mailing Address - Country:US
Mailing Address - Phone:978-417-6149
Mailing Address - Fax:
Practice Address - Street 1:8 PRINCE PL
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2612
Practice Address - Country:US
Practice Address - Phone:617-410-8034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health