| Living Water Counseling Center, Inc. | |
|
94 Suffolk St Holyoke MA 01040-4458 | |
| (413) 315-3194 | |
| (413) 322-8404 |
| Full Name | Living Water Counseling Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 94 Suffolk St, Holyoke, Massachusetts |
| Authorized Official Name and Position | Frank H Wotton (PRESIDENT) |
| Authorized Official Contact | 4133153194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Counseling Center, Inc. 94 Suffolk St Holyoke MA 01040-4458 Ph: (413) 315-3194 | Living Water Counseling Center, Inc. 94 Suffolk St Holyoke MA 01040-4458 Ph: (413) 315-3194 |
| NPI Number | 1922445535 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 05/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922445535 | NPI | - | NPPES |
| 241903 | Other | MA | TUFT |
| P09114 | Other | MA | BLUE CROSS BLUE SHIELD |
| 109497 | Other | MA | BEACON |
| 45208 | Other | MA | HEALTH NEW ENGLAND |
| 0005602 | Other | MA | MEDICARE |
| 6724849 | Other | MA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114516 (Massachusetts) | Primary |
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