Provider Demographics
NPI:1801583497
Name:PROACTION COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:PROACTION COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-530-1863
Mailing Address - Street 1:118 UNION AVE STE 17
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8208
Mailing Address - Country:US
Mailing Address - Phone:508-530-1863
Mailing Address - Fax:508-668-3280
Practice Address - Street 1:118 UNION AVE STE 17
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8208
Practice Address - Country:US
Practice Address - Phone:508-530-1863
Practice Address - Fax:508-668-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty