| Berkshire Greenleaf & Wellness, Llc | |
|
44 Mckinley Ter Pittsfield MA 01201-6608 | |
| (413) 329-8480 | |
| Not Available |
| Full Name | Berkshire Greenleaf & Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 44 Mckinley Ter, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Marlee Elizabeth Tyska (THERAPIST) |
| Authorized Official Contact | 4133298480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Greenleaf & Wellness, Llc 44 Mckinley Ter Pittsfield MA 01201-6608 Ph: (413) 329-8480 | Berkshire Greenleaf & Wellness, Llc 44 Mckinley Ter Pittsfield MA 01201-6608 Ph: (413) 329-8480 |
| NPI Number | 1215699921 |
|---|---|
| Provider Enumeration Date | 10/10/2021 |
| Last Update Date | 10/10/2021 |
| Certification Date | 10/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215699921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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