Provider Demographics
NPI:1780445882
Name:RACHEL SASSEVILLE COUNSELING
Entity type:Organization
Organization Name:RACHEL SASSEVILLE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:SASSEVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LADC-I
Authorized Official - Phone:401-216-6136
Mailing Address - Street 1:75 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-1761
Mailing Address - Country:US
Mailing Address - Phone:401-216-6136
Mailing Address - Fax:
Practice Address - Street 1:75 CLARK ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-1761
Practice Address - Country:US
Practice Address - Phone:401-216-6136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health