Provider Demographics
NPI:1093579757
Name:UNITED COUNSELING PLLC
Entity Type:Organization
Organization Name:UNITED COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIAUD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-510-2149
Mailing Address - Street 1:30 WORTHEN ST APT A2
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2629
Mailing Address - Country:US
Mailing Address - Phone:781-510-2149
Mailing Address - Fax:
Practice Address - Street 1:1 MEETING HOUSE RD STE 11-12
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2733
Practice Address - Country:US
Practice Address - Phone:508-736-3624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty