Provider Demographics
NPI:1073406062
Name:PROACTIVE FAMILIES ADVOCACY INC.
Entity type:Organization
Organization Name:PROACTIVE FAMILIES ADVOCACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILLARGEON
Authorized Official - Suffix:
Authorized Official - Credentials:BA IN HUMAN SERVICES
Authorized Official - Phone:774-321-0854
Mailing Address - Street 1:900 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-5406
Mailing Address - Country:US
Mailing Address - Phone:774-234-6075
Mailing Address - Fax:
Practice Address - Street 1:900 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-5406
Practice Address - Country:US
Practice Address - Phone:774-234-6075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable