Tatyana Li Lugo-Gardner
Tatyana Li Lugo-Gardner is a Mental Health Counselor in Fitchburg, Massachusetts. Qualified in 2023, 3 years ago. Registered with an NPI since 2023.
- Years since qualifying
- 3
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
326 Nichols RdFitchburg, MA 01420-1914
Phone: (978) 878-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Art Therapist | Taxonomy 221700000X |
Record details
| NPI number | 1720767288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 12, 2023 |
| Last updated in NPPES | July 12, 2023 |
| Certification date | July 12, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |