| Holistic Care Mental Health Association Llc | |
|
425 Union St Ste 42 West Springfield MA 01089-3485 | |
| (413) 930-4562 | |
| (413) 707-9931 |
| Full Name | Holistic Care Mental Health Association Llc |
|---|---|
| Speciality | Social Worker |
| Location | 425 Union St Ste 42, West Springfield, Massachusetts |
| Authorized Official Name and Position | Pamela Jumba (OWNER/PROVIDER) |
| Authorized Official Contact | 4133068605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Care Mental Health Association Llc 221b Wollaston St Springfield MA 01119-1673 Ph: () - | Holistic Care Mental Health Association Llc 425 Union St Ste 42 West Springfield MA 01089-3485 Ph: (413) 930-4562 |
| NPI Number | 1083301675 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 0941742282 |
|---|---|
| Medicare Enrollment ID | O20240603000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083301675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joseph Cheng Strickland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972638286 PECOS PAC ID: 9133381635 Enrollment ID: I20120430000287 |
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