Provider Demographics
NPI:1083335517
Name:FIDELIA COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:FIDELIA COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:KEBREAU
Authorized Official - Last Name:FIDELIA
Authorized Official - Suffix:
Authorized Official - Credentials:MED, MBAHCM
Authorized Official - Phone:339-205-9990
Mailing Address - Street 1:800 W CUMMINGS PARK STE 3400
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6551
Mailing Address - Country:US
Mailing Address - Phone:781-716-4149
Mailing Address - Fax:781-716-4148
Practice Address - Street 1:800 W CUMMINGS PARK STE 3400
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6551
Practice Address - Country:US
Practice Address - Phone:781-716-4149
Practice Address - Fax:781-716-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty