| Worcester County Counseling, Inc | |
|
161 W Main St Dudley MA 01571-3817 | |
| (774) 757-2254 | |
| (508) 949-6731 |
| Full Name | Worcester County Counseling, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 161 W Main St, Dudley, Massachusetts |
| Authorized Official Name and Position | Holly C Poirier (OWNER/CLINICIAN) |
| Authorized Official Contact | 7747572254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worcester County Counseling, Inc 3 Juniper Ln Dudley MA 01571-3826 Ph: (774) 757-2254 | Worcester County Counseling, Inc 161 W Main St Dudley MA 01571-3817 Ph: (774) 757-2254 |
| NPI Number | 1043942139 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Medicare PECOS PAC ID | 5092235754 |
|---|---|
| Medicare Enrollment ID | O20250225001453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043942139 | NPI | - | NPPES |
| 1467780700 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Paige Hartmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770077786 PECOS PAC ID: 3274985098 Enrollment ID: I20240117003342 |
| Provider Name | Holly Poirier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467780700 PECOS PAC ID: 2466972146 Enrollment ID: I20250225002606 |
| Provider Name | Tamah P Senosk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437367083 PECOS PAC ID: 2062936958 Enrollment ID: I20250414000127 |
| Provider Name | Tamara Alicia Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811225147 PECOS PAC ID: 6800312893 Enrollment ID: I20250502001627 |
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