Organization
COLLECTIVE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY A SMITH LICSW (OWNER)
(508) 479-5202
Entity
Organization
Contact information
Practice address
290 TURNPIKE RD STE 5-138, WESTBOROUGH, MA 01581-2843
(508) 418-6608
(508) 475-9396
Mailing address
290 TURNPIKE RD STE 5-138, WESTBOROUGH, MA 01581-2843
(508) 479-5202
(508) 475-9396
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
121289
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093023517
—
CT
Enumeration date
08/21/2018
Last updated
07/23/2020
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