Healthcare Provider Details

I. General information

NPI: 1649215054
Provider Name (Legal Business Name): WOMANKIND COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 GREEN ST
CONCORD NH
03301-4000
US

IV. Provider business mailing address

21 GREEN ST
CONCORD NH
03301-4000
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-2985
  • Fax:
Mailing address:
  • Phone: 603-225-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARA K SIRMONES
Title or Position: OFFICE MANAGER
Credential:
Phone: 603-415-0122