BAYSTATE MENTAL HEALTH COUNSELING NPI 1083216626

NPI Information

BAYSTATE MENTAL HEALTH COUNSELING is a mental health counselor in Longmeadow, MA. BAYSTATE MENTAL HEALTH COUNSELING NPI is 1083216626. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

175 DWIGHT RD
LONGMEADOW, MA
ZIP 01106-576
Phone: (978) 886-7564

The provider's authorized official is Matthew Riley .
The authorized official title is Lmhc and has the following contact phone number (978) 886-7564.

The CLIA number assigned to this NPI record is 22D2288450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.

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:

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