Healthcare Provider Details

I. General information

NPI: 1427320837
Provider Name (Legal Business Name): METROWEST COUNSELING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2012
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 WORCESTER RD SUITE 303
FRAMINGHAM MA
01701-5356
US

IV. Provider business mailing address

246 WALNUT ST
NEWTON MA
02460-1689
US

V. Phone/Fax

Practice location:
  • Phone: 508-575-1110
  • Fax: 508-875-1130
Mailing address:
  • Phone: 617-244-3322
  • Fax: 617-581-6040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN S FREEMAN
Title or Position: OWNER
Credential: LMHC
Phone: 508-875-1110