HENRY LEE WILLIS COMMUNITY CENTER, INC


Address: 44 Front St, Suite 480, Worcester, MA 01608-1733
Phone: 5087992934

HENRY LEE WILLIS COMMUNITY CENTER, INC (NPI# 1649344821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649344821
Entity Type Organization
Organization Name HENRY LEE WILLIS COMMUNITY CENTER, INC
Other Organization Name THE WILLIS CENTER
Practice Address 44 Front St
Suite 480
Worcester
MA 01608-1733
Mailing Address 119 Forest St
Worcester
MA 01609-1529
Practice Telephone 5087992934
Practice Fax Number 5087701732
Mailing Telephone 5087990702
Mailing Fax Number 5087540245
Enumeration Date 2006-11-20
Last Update Date 2020-08-22
Authorized Official Name MR. CARLTON A WATSON (PRESIDENT)
Authorized Official Telephone 5087990702
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 0690 MA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Willis Center Doing Business As Name - Organization

Office Location

Street Address 44 FRONT ST
SUITE 480
City WORCESTER
State MA
Zip Code 01608-1733

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NPI Name Taxonomy Address Enumeration
1316385214 Andrey Mazo Dmd PC Dentist 44 Front St, Worcester, MA 01608-1733 2013-06-13
1528313467 Lindsey A Vaughan Counselor 44 Front St, Suite 490, Worcester, MA 01608-1733 2012-07-17
1952656886 Kaitlin Frances Bailey Counselor 44 Front St, Suite 490, Worcester, MA 01608-1733 2012-07-17
1023372695 Thomas J Russell Counselor 44 Front St, Suite 490, Worcester, MA 01608-1733 2012-06-28
1780978916 Kelly Ann Chomes Counselor 44 Front St, Suite 490, Worcester, MA 01608-1733 2011-06-06
1578872800 Stephen Ludy Counselor 44 Front St, Suite 490, Worcester, MA 01608-1733 2010-10-05
1548579121 Willis Center Substance Abuse Rehabilitation Facility 44 Front St, Fourth Floor, Worcester, MA 01608-1733 2010-09-30
1053629360 Dana Mark Bergman Counselor 44 Front St, Suite 490, Worcester, MA 01608-1733 2010-09-21
1174831358 Wills Center Community/Behavioral Health 44 Front St, 4th Floor, Worcester, MA 01608-1733 2010-09-21
1942518741 Shelly Watson Social Worker 44 Front St, Worcester, MA 01608-1733 2010-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1083244057 Marc Labb Counselor 25 Union St 3rd Floor, Worcester, MA 01608 2020-01-18
1154974145 Shanil Shah Student in an Organized Health Care Education/Training Program St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 2019-07-19
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1992361182 Jenna Recko Physical Therapy Assistant Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 2019-05-14
1619452646 Kara Thompson Registered Nurse 100 Martin Luther King Jr Blvd, Worcester, MA 01608 2018-09-25
1427555325 Baran Umut Vardar Student in an Organized Health Care Education/Training Program 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 2018-04-09
1609380765 Mary Elizabeth O'donnell Occupational Therapist Easter Seals Ma, 484 Main Street, Worcester, MA 01608 2017-11-28
1093227316 Oasis Home Care, LLC Home Health 340 Main St Ste 803, Worcester, MA 01608 2017-10-26
1912437500 Peter A Rondon Social Worker 11 Sycamore Street, Worcester, MA 01608 2017-06-15
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI Name Taxonomy Address Enumeration
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1760041685 Central Mass Behavioral Health, Inc. Clinic/Center 255 Park Ave Ste 500, Worcester, MA 01609-1989 2019-06-13
1508424722 Behavioral Health By Sunrise Inc. Clinic/Center 255 Park Ave Ste 500, Worcester, MA 01609-1989 2019-06-03
1538639869 Worcester Athletic Club Clinic/Center 440 Grove St, Worcester, MA 01605-1268 2018-11-29
1427527373 Institute for Trauma and Healing Clinic/Center 21 Cedar Street, Worcester, MA 01609 2018-11-21
1962787648 Walgreens Pharmacy Clinic/Center 320 Park Ave, Worcester, MA 01610 2011-10-13
1326236175 Defis, Inc. Clinic/Center 33 Oak Ave, Worcester, MA 01605-2752 2007-10-05
1548325715 Planned Parenthood League of Mass. Clinic/Center 631 Lincoln St, Worcester, MA 01605-2010 2006-12-27

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1649896283 Community Health Center of Cape Cod, Inc. Clinic/Center 90 Route 6a, Sandwich, MA 02563-5301 2020-06-19
1194344713 Snooze Laboratories, Inc Clinic/Center 122 Chestnut St Apt 101, Springfield, MA 01103-1541 2020-04-14
1861024457 Treehouse Center for Sensory Integration Clinic/Center 19 Muzzey St # L20, Lexington, MA 02421-5256 2020-02-11
1982262184 Nationwide Health Advocates LLC Clinic/Center 5 Pleasant St Ste 1, Methuen, MA 01844-3195 2019-06-03
1538622436 Onduo Professionals of Texas, P.a. Clinic/Center 55 Chapel St Ste 200, Newton, MA 02458-1070 2019-04-09
1801357454 Kelly Dumay Pogeyed Tuguinay Clinic/Center 2 Mcdewell Ave Apt 17, Danvers, MA 01923-3335 2019-03-27
1760949192 Elizabeth Apkin Psyd LLC Clinic/Center 1577 Beacon St Ste D, Brookline, MA 02446-4602 2019-02-21
1578027975 Chinne Health Systems LLC Clinic/Center 330 Lynnway Ste 112, Lynn, MA 01901-1706 2019-01-30
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Competitor

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City WORCESTER
Zip Code 01608

Improve Information

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Dataset Information

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.

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