Provider Demographics
NPI:1265290886
Name:METROWEST MENTAL HEALTH SERVICES, PLLC
Entity type:Organization
Organization Name:METROWEST MENTAL HEALTH SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PREVELIGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-478-0126
Mailing Address - Street 1:111 SPEEN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-2000
Mailing Address - Country:US
Mailing Address - Phone:508-290-5156
Mailing Address - Fax:508-443-6024
Practice Address - Street 1:111 SPEEN ST STE 110
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-2000
Practice Address - Country:US
Practice Address - Phone:508-290-5156
Practice Address - Fax:508-443-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty