Collective Counseling Center, Llc

LBN: Collective Counseling Center, Llc
Collective Counseling Center, Llc is an health care organization with primary practice located at 290 Turnpike Rd Ste 5-138 , Westborough MA 01581-2843. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Collective Counseling Center, Llc can be contacted via phone (508) 418-6608, or through Smith, Kelley A via phone (508) 479-5202.

Contact Information

Primary practice address
290 Turnpike Rd Ste 5-138 Westborough MA 01581-2843
Fax: (508) 475-9396
Website:
Authorized official contact:
Name: Smith, Kelley A LICSW

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 121289 Massachusetts

Profile Details

NPI number 1366923005
LBN Legal business name Collective Counseling Center, Llc
DBA Doing business as
Authorized official Smith, Kelley A LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2018
Last updated Jul 23rd, 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 1366923005 NPPES
Connecticut MEDICAID 1093023517

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