Provider Demographics
NPI:1982101796
Name:MSW SQUARED COUNSELING LLC
Entity Type:Organization
Organization Name:MSW SQUARED COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEXELBLAT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:978-436-1764
Mailing Address - Street 1:55 MIDDLESEX ST UNIT 209
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1570
Mailing Address - Country:US
Mailing Address - Phone:978-436-1764
Mailing Address - Fax:978-455-7093
Practice Address - Street 1:55 MIDDLESEX ST UNIT 209
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1570
Practice Address - Country:US
Practice Address - Phone:978-436-1764
Practice Address - Fax:978-455-7093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115673251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health