|
| |
|
370 Main St Ste 910 Worcester MA 01608-1723 | |
| (508) 752-5444 | |
| (661) 360-9453 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 370 Main St Ste 910, Worcester, Massachusetts |
| Authorized Official Name and Position | Augustus C Sealy (MANAGER) |
| Authorized Official Contact | 5087525444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
370 Main St Ste 910 Worcester MA 01608-1723 Ph: (508) 752-5444 | 370 Main St Ste 910 Worcester MA 01608-1723 Ph: (508) 752-5444 |
| NPI Number | 1528300902 |
|---|---|
| Provider Enumeration Date | 03/23/2013 |
| Last Update Date | 12/21/2024 |
| Certification Date | 12/21/2024 |
| Medicare PECOS PAC ID | 4082145941 |
|---|---|
| Medicare Enrollment ID | O20241009001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528300902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3864 (Massachusetts) | Primary |
| Provider Name | Augustus C Sealy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750448965 PECOS PAC ID: 3678017530 Enrollment ID: I20241002001977 |
Olivia Homan, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Cedar St, Worcester, MA 01609 Phone: 617-581-2267 | |
Autism Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sterling St, Worcester, MA 01610 Phone: 508-321-3055 Fax: 508-321-3055 | |
Community Health Link Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-438-5578 Fax: 508-860-1023 | |
Guided Growth Therapy Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Falcon St, Worcester, MA 01603 Phone: 508-769-2766 | |
Ld Psych Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Allston Ave, Worcester, MA 01604 Phone: 508-356-4495 | |
Hope Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Park Ave, Worcester, MA 01610 Phone: 508-713-1191 |