Provider Demographics
NPI:1841522364
Name:LATINO COUNSELING, INC.
Entity type:Organization
Organization Name:LATINO COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:CLAUDE
Authorized Official - Last Name:D'AMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:781-248-8355
Mailing Address - Street 1:800 PURCHASE ST STE 307
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6354
Mailing Address - Country:US
Mailing Address - Phone:781-248-8355
Mailing Address - Fax:
Practice Address - Street 1:800 PURCHASE ST STE 307
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6354
Practice Address - Country:US
Practice Address - Phone:781-248-8355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty