| NPI | 1417596123 |
|---|---|
| Former Legal Business Name | LEXINTEGRATIVE PSYCHOTHERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | ELLEN JEAN SOPHIS GILLESPIE Owner/Psychotherapist 617-855-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2025-01-23 |