Provider Demographics
NPI:1063879724
Name:ANDOVER WELLNESS AND COUNSELING
Entity type:Organization
Organization Name:ANDOVER WELLNESS AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPADINIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-417-1531
Mailing Address - Street 1:859 TURNPIKE ST
Mailing Address - Street 2:UNIT 130/132
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6149
Mailing Address - Country:US
Mailing Address - Phone:978-417-1351
Mailing Address - Fax:
Practice Address - Street 1:859 TURNPIKE ST
Practice Address - Street 2:UNIT 130/132
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6149
Practice Address - Country:US
Practice Address - Phone:978-417-1351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8695101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty