Provider Demographics
NPI:1013592179
Name:CERVITUDE COUNSELING PLLC
Entity Type:Organization
Organization Name:CERVITUDE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINNA-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LICSW
Authorized Official - Phone:617-996-8119
Mailing Address - Street 1:219 CENTRAL ST APT 4E
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2215
Mailing Address - Country:US
Mailing Address - Phone:617-996-8119
Mailing Address - Fax:
Practice Address - Street 1:97 CENTRAL ST STE 403B
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1917
Practice Address - Country:US
Practice Address - Phone:617-996-8119
Practice Address - Fax:617-925-6367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty