MEDICARE: RELENTLESS GROWTH COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1053258251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELENTLESS GROWTH COUNSELING LLC

Provider Business Mailing Address
First Line	:	73 TURNPIKE ST # 1174
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 MIDDLEBURY ST
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01841
Country	:	US
Telephone Number	:	339-645-0717
Fax Number	:

Authorized Official
Title or Position	:	LICSW
Name	:	JENNIFER ORELLANA
Credential	:
Telephone Number	:	978-999-9999

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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