Provider Demographics
NPI:1942557681
Name:ATLANTIC TELECOMMUNICATIONS SERVICES CORP.
Entity Type:Organization
Organization Name:ATLANTIC TELECOMMUNICATIONS SERVICES CORP.
Other - Org Name:ATLANTIC COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CAVALLO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-435-0017
Mailing Address - Street 1:1 JOSEPH RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2432
Mailing Address - Country:US
Mailing Address - Phone:508-435-0017
Mailing Address - Fax:508-435-8282
Practice Address - Street 1:495 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-4002
Practice Address - Country:US
Practice Address - Phone:508-435-0017
Practice Address - Fax:508-435-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7726101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty