Organization
A WELL PLACE, LLC
Active
Other names
AWP Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA WYMAN PACIFIC LICSW (OWNER)
(781) 264-1441
Entity
Organization
Contact information
Practice address
23 VENUS DR., WORCESTER, MA 01605
(508) 556-7781
Mailing address
23 VENUS DR, WORCESTER, MA 01605
(508) 556-7781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
116094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346499381
NPI TYPE 1
MA
Enumeration date
04/01/2015
Last updated
06/20/2024
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