Provider Demographics
NPI:1811507577
Name:WATER BEAR COUNSELING, LLC
Entity type:Organization
Organization Name:WATER BEAR COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-571-3558
Mailing Address - Street 1:150 SAINT BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-5891
Mailing Address - Country:US
Mailing Address - Phone:617-571-3558
Mailing Address - Fax:
Practice Address - Street 1:76 SUMMER ST STE 115
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5705
Practice Address - Country:US
Practice Address - Phone:978-400-0980
Practice Address - Fax:855-403-3832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty