Provider Demographics
NPI:1831986512
Name:AMANECER COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:AMANECER COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW, SIFI
Authorized Official - Phone:617-308-3958
Mailing Address - Street 1:116 MAIN ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3669
Mailing Address - Country:US
Mailing Address - Phone:617-308-3958
Mailing Address - Fax:
Practice Address - Street 1:116 MAIN ST UNIT 6
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3669
Practice Address - Country:US
Practice Address - Phone:617-308-3958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty