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Contact Information

PAIGE A LEAVITT HALSALL
104 CHARLES ELDRIDGE DRIVE
TRANQUIL MIND & WELLNESS INC
LAKEVILLE, MA02347
 Phone: 508-947-1683
 Fax: 508-947-1684
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for PAIGE A LEAVITT HALSALL · (Female)

NPI Number 1740295617
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2006
Last updated 02/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # APRN175441
  • Other 2173937 CIGNA
  • Other 1895028 MBHP
  • Other 33106235303 PACIFICARE
  • Other 469386 TUFTS
  • MA Other PN0805 BLUE CROSS
  • RI Other 271408 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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