| NPI | 1013331388 |
|---|---|
| Former Legal Business Name | BAY STATE COUNSELING AND WELLNESS CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | GINA AGUAYO Owner 978-330-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2023-11-29 |