Provider Demographics
NPI:1952071466
Name:OLDER STRONGER WISER COUNSELING LLC
Entity Type:Organization
Organization Name:OLDER STRONGER WISER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-341-9316
Mailing Address - Street 1:132 CHESTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9715
Mailing Address - Country:US
Mailing Address - Phone:617-201-2453
Mailing Address - Fax:
Practice Address - Street 1:132 CHESTERFIELD RD
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9715
Practice Address - Country:US
Practice Address - Phone:617-201-2453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty