Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amelia Fazackerley, MT-BC, LMHC

Individual provider Mental Health Counselor · NPI 1790494920

Amelia Fazackerley, MT-BC, LMHC is a Mental Health Counselor in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

670 W Boylston St
Worcester, MA 01606-2092
Phone: (508) 853-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMHC10002923 (MA)

Record details

NPI number1790494920
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT-BC , LMHC
Sole proprietorNo
NPI enumeratedNovember 16, 2022
Last updated in NPPESAugust 5, 2025
Certification dateAugust 2, 2025

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