Provider Demographics
NPI:1912545914
Name:FERRERAS COUNSELING LLC
Entity Type:Organization
Organization Name:FERRERAS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ MATEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-229-9656
Mailing Address - Street 1:439 SOUTH UNION STREET
Mailing Address - Street 2:BUILDING 2 SUITE 104
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843
Mailing Address - Country:US
Mailing Address - Phone:978-648-8515
Mailing Address - Fax:978-208-6146
Practice Address - Street 1:439 SOUTH UNION STREET
Practice Address - Street 2:BUILDING 2 SUITE 104
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843
Practice Address - Country:US
Practice Address - Phone:978-648-8515
Practice Address - Fax:978-208-6146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center