Organization · NPI-2

A Well Place, LLC

Counselor, Mental Health · Worcester, MA

NPI number1154716686
StatusActive
Last updated in NPPESJun 20, 2024

Details

NPI
1154716686
Entity type
Organization (NPI-2)
Legal business name
A Well Place, LLC
Organization subpart
No
Enumeration date
Apr 1, 2015
Certification date
Jun 20, 2024
Last updated
Jun 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health116094MAYes

Other names

  • Awp Services, LLC (Former Legal Business Name)

Practice location

23 Venus Dr.
Worcester, MA 01605

Phone 508-556-7781

Mailing address

23 Venus Dr
Worcester, MA 01605

Phone 508-556-7781

Authorized official

Alyssa Wyman Pacific
Owner
7812641441

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