Provider Demographics
NPI:1932085297
Name:LAURA F WILHELM PSYCHOTHERAPIST LLC
Entity type:Organization
Organization Name:LAURA F WILHELM PSYCHOTHERAPIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILHELM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-298-2510
Mailing Address - Street 1:596 METACOM AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-2806
Mailing Address - Country:US
Mailing Address - Phone:413-298-2510
Mailing Address - Fax:
Practice Address - Street 1:179 HIGHLAND AVE # 1001
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-5828
Practice Address - Country:US
Practice Address - Phone:413-298-2510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty