=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881449122
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DARLING MENTAL HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2024
-----------------------------------------------------
Last Update Date | 09/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 255 PARK AVE STE 808
-----------------------------------------------------
City | WORCESTER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01609-1984
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-614-9899
-----------------------------------------------------
Fax | 508-919-8187
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 996
-----------------------------------------------------
City | BOYLSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01505-0996
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-614-9899
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JEREMY DARLING
-----------------------------------------------------
Credential | MA, LMHC/LCPC, CST
-----------------------------------------------------
Telephone | 774-614-9899
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------