FOUR WINGS COUNSELING LLC (NPI# 1578176129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578176129 |
| Entity Type | Organization |
| Organization Name | FOUR WINGS COUNSELING LLC |
| Practice Address |
337 N Main St Orange MA 01364-1060 |
| Practice Telephone | 9785454445 |
| Mailing Telephone | 9785454445 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | PAMELA LOTTIE GOBEILLE (THERAPIST) |
| Authorized Official Telephone | 9785454445 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
337 N MAIN ST |
| City | ORANGE |
| State | MA |
| Zip Code | 01364-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013464528 | Kayla Bosselait | Counselor | 15 E. Main St, #205, Orange, MA 01364 | 2016-09-01 |
| 1417223462 | Andrea Lee Callahan | Counselor | 131 West Main Street, Chd-first Floor, Orange, MA 01364 | 2012-03-23 |
| 1194950626 | Tasha Chemel | Counselor | 131 Main Street, Orange, MA 01364 | 2009-05-28 |
| 1831103233 | Debra Marie Kott | Social Worker | 131 W Main St, Orange, MA 01364 | 2006-07-28 |
| 1114943149 | Donald Y. Stiles | Optometrist | 119 New Athol Rd, Orange, MA 01364 | 2006-07-14 |
| 1629136981 | Paul Antoni Kowacki | Chiropractor | 28 North Main St, Orange, MA 01364-0118 | 2006-12-05 |
| 1992842215 | Resmi P Nair | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2007-01-30 |
| 1811406465 | Manish Juneja | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2017-09-27 |
| 1982738209 | Orange Dental Group LLC | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2007-03-16 |
| 1962833186 | Julie Stanley | Counselor | 73 Lincoln Ave, Orange, MA 01364-1012 | 2013-12-13 |
| Find all providers in zip 01364 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061927 | Neighbours-inc | Community/Behavioral Health | 412 S Valley Rd Fl 2, Orange, NJ 07050-1323 | 2019-09-04 |
| 1518446905 | Alan Lawrence | Community/Behavioral Health | 339 Park Ave Apt 3e, Orange, NJ 07050-2867 | 2018-08-07 |
| 1851879688 | Jasmin Bahena | Community/Behavioral Health | 817 W Westway Ave, Orange, CA 92865-2533 | 2018-08-02 |
| 1891273223 | Berlyn Gasporra | Community/Behavioral Health | 270 W Sparkleberry Ave, Orange, CA 92865-5012 | 2018-07-28 |
| 1801244876 | Urban Truth LLC | Community/Behavioral Health | 402 Valley St, Orange, NJ 07050-1321 | 2016-05-31 |
| 1679953319 | Serenity Living Inc | Community/Behavioral Health | 29 William St, 1st Floor, Orange, NJ 07050-4010 | 2015-06-08 |
| 1245675818 | Acm, Inc. | Community/Behavioral Health | 265 S Anita Dr Ste 117, Orange, CA 92868-3341 | 2013-05-08 |
| 1073863056 | Illumination Foundation | Community/Behavioral Health | 1091 N Batavia St, Orange, CA 92867 | 2012-09-17 |
| 1598054728 | Recovery Innovations Inc | Community/Behavioral Health | 171 S Anita Dr, Suite 100, Orange, CA 92868-3319 | 2011-03-28 |
| 1124201462 | Cross Counter, Inc | Community/Behavioral Health | 399 Heywood Ave, Orange, NJ 07050-2006 | 2007-12-10 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.