| Pioneer Valley Mental Health, Pllc | |
|
120 Green Manor Rd Enfield CT 06082-4115 | |
| (413) 388-9074 | |
| Not Available |
| Full Name | Pioneer Valley Mental Health, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 120 Green Manor Rd, Enfield, Connecticut |
| Authorized Official Name and Position | Richard F Cookish (MEMBER/OWNER) |
| Authorized Official Contact | 4133889074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Valley Mental Health, Pllc 68 Harrison Ave Ste 605 Num486928 Boston MA 02111-1929 Ph: (413) 388-9074 | Pioneer Valley Mental Health, Pllc 120 Green Manor Rd Enfield CT 06082-4115 Ph: (413) 388-9074 |
| NPI Number | 1104683549 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104683549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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