Organization
GREENBRIDGE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ELIZABETH PRICE LICSW (OWNER/DIRECTOR)
(978) 649-2055
Entity
Organization
Contact information
Practice address
269 MIDDLESEX RD, TYNGSBORO, MA 01879-1078
(978) 649-2055
Mailing address
269 MIDDLESEX RD, TYNGSBORO, MA 01879-1078
(978) 649-2055
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097258A
—
MA
Enumeration date
01/19/2013
Last updated
01/09/2017
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