Healthcare Provider Details

I. General information

NPI: 1417449604
Provider Name (Legal Business Name): WE-COPE COUNSELING & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 AVON ST
ANDOVER MA
01810
US

IV. Provider business mailing address

5 AVON ST
ANDOVER MA
01810
US

V. Phone/Fax

Practice location:
  • Phone: 978-494-0214
  • Fax:
Mailing address:
  • Phone: 978-494-0214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOHANNA ELIZABETH HELWIG
Title or Position: OWNER
Credential: LICSW
Phone: 978-494-0214