Healthcare Provider Details

I. General information

NPI: 1932024601
Provider Name (Legal Business Name): CONNECTION GUARDIANSHIP OF MA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 SYCAMORE ST.
MILLBURY MA
01527
US

IV. Provider business mailing address

119 BOSTON TPKE UNIT 229
SHREWSBURY MA
01545-3602
US

V. Phone/Fax

Practice location:
  • Phone: 508-864-3554
  • Fax: 774-389-3696
Mailing address:
  • Phone: 508-864-3554
  • Fax: 774-389-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA JUDKINS
Title or Position: EXECUTIVE DIRECTOR
Credential: LMHC
Phone: 508-864-3554