| Counseling & Assessment Clinic Of Worcester, Llc | |
|
255 Park Ave Ste 412 Worcester MA 01609-1989 | |
| (508) 756-5400 | |
| Not Available |
| Full Name | Counseling & Assessment Clinic Of Worcester, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 255 Park Ave Ste 412, Worcester, Massachusetts |
| Authorized Official Name and Position | Jennifer J Hylton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5087565400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Assessment Clinic Of Worcester, Llc 38 Front St 5th Floor Worcester MA 01608-1732 Ph: (508) 756-5499 | Counseling & Assessment Clinic Of Worcester, Llc 255 Park Ave Ste 412 Worcester MA 01609-1989 Ph: (508) 756-5400 |
| NPI Number | 1134578719 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134578719 | NPI | - | NPPES |
| 1894196 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4CKZ (Massachusetts) | Primary |
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