MRS. ELAINE BONITA HOLSTON SOUTHWORTH NPI 1619443298

NPI Information

NPI: 1619443298
Provider Name: MRS. ELAINE BONITA HOLSTON SOUTHWORTH
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1695 MAIN ST FL 400
SPRINGFIELD, MA
ZIP 01103
Phone: (413) 348-4101
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MRS. Elaine Bonita Holston Southworth is a mental health counselor in Springfield, MA. MRS. Elaine Bonita Holston Southworth NPI is 1619443298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1695 MAIN ST FL 400
SPRINGFIELD, MA
ZIP 01103-063
Phone: (413) 348-4101

The enumeration date for this NPI number is 10/22/2018 and was last updated on 10/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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