MINDCARE AGENCY PC, Addiction Medicine SPRINGFIELD, MA

Contact Information

MINDCARE AGENCY PC

125 LIBERTY ST
SUITE 205
SPRINGFIELD, MA 01103-1114

Phone: 413-271-7136
Fax: 413-271-7137
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction Medicine	2084A0401X	79	Physician/Addiction Medicine
Community/Behavioral Health	251S00000X
Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for MINDCARE AGENCY PC · (Female)

NPI Number	`1730557018`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/03/2015
Last updated	11/18/2019 - About 7 years ago
Sole proprietor ¹	Not specified
Identifiers	MA License # 223674 MA Other 223674 STATE LICENSE NUMBER
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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