Provider Demographics
NPI:1245644244
Name:COUNSELING CONCEPTS
Entity type:Organization
Organization Name:COUNSELING CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MELANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-503-7487
Mailing Address - Street 1:344 MAIN ST
Mailing Address - Street 2:SUITE 13
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-8007
Mailing Address - Country:US
Mailing Address - Phone:978-503-7487
Mailing Address - Fax:
Practice Address - Street 1:344 MAIN ST
Practice Address - Street 2:SUITE 13
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-8007
Practice Address - Country:US
Practice Address - Phone:978-503-7487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8841101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty