Provider Demographics
NPI:1184454308
Name:MARY WILKES COUNSELING LLC
Entity type:Organization
Organization Name:MARY WILKES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILKES
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-281-8191
Mailing Address - Street 1:446 WHITE OAKS RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2226
Mailing Address - Country:US
Mailing Address - Phone:413-281-8191
Mailing Address - Fax:
Practice Address - Street 1:1316 MASS MOCA WAY
Practice Address - Street 2:BUILDING 13
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247
Practice Address - Country:US
Practice Address - Phone:413-281-8191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty