Provider Demographics
NPI:1689410219
Name:TWO YELLOW CHAIRS LLC
Entity type:Organization
Organization Name:TWO YELLOW CHAIRS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CICHOWLAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-263-0281
Mailing Address - Street 1:32 PINE LN
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3802
Mailing Address - Country:US
Mailing Address - Phone:508-263-0281
Mailing Address - Fax:
Practice Address - Street 1:40 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3474
Practice Address - Country:US
Practice Address - Phone:508-263-0281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty