IndividualActive
Taylor Whittredge
NPI 1346824653 · Mental Illness Community Based Residential Treatment Facility · Worcester, MA
Provider details
- NPI number
- 1346824653
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
2 Granite St
Worcester, MA 01604-5428
Phone: (508) 849-5640
Approximate (ZIP-level) locationGet directions
Mailing address
17 S Point Rd
Webster, MA 01570-3637
Additional practice locations (2)
- 95 Pleasant StLynn, MA 01901-1524Phone: (800) 988-1111
- 117 Summer StSomerville, MA 02143-2706Phone: (339) 216-7082
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.