Provider Demographics
NPI:1700353034
Name:BLU SAGE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:BLU SAGE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIFRAIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-992-8257
Mailing Address - Street 1:4 WATER ST STE 4
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2937
Mailing Address - Country:US
Mailing Address - Phone:978-992-8257
Mailing Address - Fax:
Practice Address - Street 1:4-6 WATER ST
Practice Address - Street 2:#4
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01914
Practice Address - Country:US
Practice Address - Phone:978-992-8257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)