Healthcare Provider Details

I. General information

NPI: 1003754094
Provider Name (Legal Business Name): FLAVIAH DOROTHY NAMUWAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 E MOUNTAIN ST
WORCESTER MA
01606-1400
US

IV. Provider business mailing address

7 DELANEY AVE
DUDLEY MA
01571-3710
US

V. Phone/Fax

Practice location:
  • Phone: 508-755-0556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: