Provider Demographics
NPI:1760583736
Name:INTERACTIONS COUNSELING AND INTERVENTION CENTER INC.
Entity Type:Organization
Organization Name:INTERACTIONS COUNSELING AND INTERVENTION CENTER INC.
Other - Org Name:INTERACTIONS COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:JAN
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:978-392-9600
Mailing Address - Street 1:288 LITTLETON RD STE 30
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3527
Mailing Address - Country:US
Mailing Address - Phone:978-392-9600
Mailing Address - Fax:978-486-8104
Practice Address - Street 1:288 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3536
Practice Address - Country:US
Practice Address - Phone:978-392-9600
Practice Address - Fax:978-486-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty