Provider Demographics
NPI:1891710042
Name:COUNSELING ASSOCIATES OF MA & NH, LLC
Entity Type:Organization
Organization Name:COUNSELING ASSOCIATES OF MA & NH, LLC
Other - Org Name:COUNSELING ASSOCIATES OF DRACUT & METHUEN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-472-5279
Mailing Address - Street 1:184 PLEASANT VALLEY ST STE 1-206
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5855
Mailing Address - Country:US
Mailing Address - Phone:978-683-0133
Mailing Address - Fax:978-683-9818
Practice Address - Street 1:184 PLEASANT VALLEY ST STE 1-206
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5855
Practice Address - Country:US
Practice Address - Phone:978-683-0133
Practice Address - Fax:978-683-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP10384OtherBLUE CROSS/BLUE SHIELD