Organization
INTEGRATIVE TRANSFORMATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA H GOULD LICSW (OWNER)
(508) 769-5830
Entity
Organization
Contact information
Practice address
6 GLOVER RD, MILLBURY, MA 01527-1404
(508) 216-0237
(508) 519-0417
Mailing address
6 GLOVER RD, MILLBURY, MA 01527-1404
(508) 216-0237
(508) 519-0417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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