# CULTIVATE CONSCIOUSLY WELLNESS COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851994883
- **Authorized official:** CRISTEN ELAINA SMITH LMHC, LPC, BC-TMH (FOUNDER)
- **Authorized official phone:** (508) 669-7166

## Contact information

- **Practice address:** 210 PARK AVE STE 231, WORCESTER, MA 01609-2246
- **Practice address phone:** (508) 659-2380
- **Practice address fax:** (774) 243-0597
- **Mailing address:** 210 PARK AVE STE 231, WORCESTER, MA 01609-2246
- **Mailing address phone:** (508) 659-2380
- **Mailing address fax:** (774) 243-0597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2020
- **Last updated:** 09/14/2022