Island Counseling Center, Llc

LBN: Advanced Psych Services, Llc
Island Counseling Center, Llc is an health care organization with primary practice located at 425 Lake Ave N Ste 101 , Worcester MA 01605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Advanced Psych Services, Llc can be contacted via phone (508) 753-3220, or through Och, Mohamad R. via phone (508) 753-3220.

Contact Information

Primary practice address
425 Lake Ave N Ste 101 Worcester MA 01605
Phone: (508) 753-3220
Fax: (508) 753-3224
Website:
Map and Directions
Authorized official contact:
Name: Och, Mohamad R.
Phone: (508) 753-3220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1750648689
LBN Legal business name Advanced Psych Services, Llc
DBA Doing business as Island Counseling Center, Llc
Authorized official Och, Mohamad R.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2012
Last updated Oct 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750648689 NPPES
Massachusetts MEDICAID 110094330B
Massachusetts MEDICAID 110094330A

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