=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750965976
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTER FOR COUNSELING AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2021
-----------------------------------------------------
Last Update Date | 06/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 ERDMAN WAY 2ND FLOOR
-----------------------------------------------------
City | LEOMINSTER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01453-1804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-868-8460
-----------------------------------------------------
Fax | 978-268-5452
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9 PENOBSCOTT AVE
-----------------------------------------------------
City | HUBBARDSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01452-1568
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-868-8460
-----------------------------------------------------
Fax | 978-268-5452
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOSEPHINE AMATO
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 978-868-8460
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------