Provider Demographics
NPI:1538739727
Name:INNERGY COUNSELING PLLC
Entity type:Organization
Organization Name:INNERGY COUNSELING PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUZELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIAS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:857-995-6525
Mailing Address - Street 1:90 CANAL ST FL 4
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2018
Mailing Address - Country:US
Mailing Address - Phone:857-995-6525
Mailing Address - Fax:857-995-6525
Practice Address - Street 1:90 CANAL ST FL 4
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2018
Practice Address - Country:US
Practice Address - Phone:857-995-6525
Practice Address - Fax:857-995-6525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty