Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Mental Health, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1619494168

Lakeside Mental Health, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Lakeville, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Charles Eldridge Dr Ste 1
Lakeville, MA 02347-1388
Phone: (774) 213-9332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2992320 (MA)

Record details

NPI number1619494168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily-Rose Virden — Owner/ Nurse Practitioner · (774) 213-9332
NPI enumeratedAugust 25, 2017
Last updated in NPPESAugust 25, 2017
Mailing address104 Charles Eldridge Drive Ste 1, Lakeville, MA 02347

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