| Community Works Therapeutic Services Llc | |
|
35 Henry Harris Street Chicopee MA 01013 | |
| (413) 222-0000 | |
| Not Available |
| Full Name | Community Works Therapeutic Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 35 Henry Harris Street, Chicopee, Massachusetts |
| Authorized Official Name and Position | Lorraine Fortes (CEO) |
| Authorized Official Contact | 4132069799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Works Therapeutic Services Llc 120 Maple St Springfield MA 01103-2203 Ph: (413) 206-9799 | Community Works Therapeutic Services Llc 35 Henry Harris Street Chicopee MA 01013 Ph: (413) 222-0000 |
| NPI Number | 1255011938 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 4082058532 |
|---|---|
| Medicare Enrollment ID | O20240223000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255011938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lorraine Fortes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609016765 PECOS PAC ID: 8123484300 Enrollment ID: I20240223000106 |
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