Provider Demographics
NPI:1770203671
Name:WALSH COUNSELING, LLC
Entity type:Organization
Organization Name:WALSH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-877-6679
Mailing Address - Street 1:47 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1296
Mailing Address - Country:US
Mailing Address - Phone:617-877-6679
Mailing Address - Fax:
Practice Address - Street 1:47 JORDAN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1296
Practice Address - Country:US
Practice Address - Phone:617-877-6679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty