Provider Demographics
NPI:1811120777
Name:NEW ENGLAND COUNSELING CENTER PC
Entity type:Organization
Organization Name:NEW ENGLAND COUNSELING CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/ CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AAFAQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-285-8550
Mailing Address - Street 1:87 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2307
Mailing Address - Country:US
Mailing Address - Phone:508-285-8550
Mailing Address - Fax:508-285-8556
Practice Address - Street 1:792 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-3137
Practice Address - Country:US
Practice Address - Phone:508-285-8550
Practice Address - Fax:508-285-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215637103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty