| A Well Place, Llc | |
|
23 Venus Dr. Worcester MA 01605 | |
| (508) 556-7781 | |
| Not Available |
| Full Name | A Well Place, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 23 Venus Dr., Worcester, Massachusetts |
| Authorized Official Name and Position | Alyssa Wyman Pacific (OWNER) |
| Authorized Official Contact | 7812641441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Well Place, Llc 23 Venus Dr Worcester MA 01605 Ph: (508) 556-7781 | A Well Place, Llc 23 Venus Dr. Worcester MA 01605 Ph: (508) 556-7781 |
| NPI Number | 1154716686 |
|---|---|
| Provider Enumeration Date | 04/01/2015 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154716686 | NPI | - | NPPES |
| 1346499381 | Other | MA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 116094 (Massachusetts) | Primary |
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