Provider Demographics
NPI:1417668237
Name:NELSON COUNSELING LLC
Entity Type:Organization
Organization Name:NELSON COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MLADC
Authorized Official - Phone:774-893-3253
Mailing Address - Street 1:11A CANTERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-6907
Mailing Address - Country:US
Mailing Address - Phone:508-948-9130
Mailing Address - Fax:
Practice Address - Street 1:11A CANTERBERRY CT
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-6907
Practice Address - Country:US
Practice Address - Phone:508-948-9130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty