| Your Sanctuary Llc | |
|
100 Grove St Suite 308 Worcester MA 01605-2627 | |
| (508) 791-1151 | |
| (508) 753-9561 |
| Full Name | Your Sanctuary Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Grove St, Worcester, Massachusetts |
| Authorized Official Name and Position | Patricia Lemley (OWNER) |
| Authorized Official Contact | 5087911151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Sanctuary Llc 100 Grove St Suite 308 Worcester MA 01605-2627 Ph: (508) 791-1151 | Your Sanctuary Llc 100 Grove St Suite 308 Worcester MA 01605-2627 Ph: (508) 791-1151 |
| NPI Number | 1679837421 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679837421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6265 (Massachusetts) | Primary |
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