A Well Place, LLC
Organization Active NPI Mental Health Counselor · Worcester, MA
NPI 1154716686 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1154716686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 116094 (MA)
- Legal business name
- A WELL PLACE, LLC
- Practice address
- 23 Venus Dr.
Worcester, MA 01605 - Phone
- (508) 556-7781
- NPI assigned
- Apr 1, 2015
- Organization subpart
- No
Authorized official
- Name
- Alyssa Wyman Pacific, LICSW
- Title
- Owner
- Phone
- (781) 264-1441
Practitioners 1
National Provider Directory
Locations
40 Mechanic St
Marlborough, MA 01752
Phone (508) 366-0551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 116094 | MA | Yes |
Addresses
Primary practice location
23 Venus Dr.
Worcester, MA 01605
Mailing address
23 Venus Dr
Worcester, MA 01605
Phone (508) 556-7781
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346499381 | Other | MA | NPI TYPE 1 |
Other names
- AWP Services, LLC
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All providers in Worcester, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.