Basic Information
Provider Information
NPI: 1932869989
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VORMSTEIN-SCHNEIDER
FirstName: HEATHER
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: MA, NCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26 QUEEN ST STE 13
Address2:  
City: WORCESTER
State: MA
PostalCode: 016102478
CountryCode: US
TelephoneNumber: 5088607930
FaxNumber:  
Practice Location
Address1: 26 QUEEN ST
Address2:  
City: WORCESTER
State: MA
PostalCode: 016102473
CountryCode: US
TelephoneNumber: 5088607930
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/17/2021
LastUpdateDate: 06/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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