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 provides Psychiatric/Mental Health Nurse Practitioner services 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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