Provider Demographics
NPI:1366253247
Name:NEUROAFFIRMING LMHC LLC
Entity type:Organization
Organization Name:NEUROAFFIRMING LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-203-9333
Mailing Address - Street 1:59 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1545
Mailing Address - Country:US
Mailing Address - Phone:413-203-9333
Mailing Address - Fax:413-515-9631
Practice Address - Street 1:167 DWIGHT RD STE 104
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1769
Practice Address - Country:US
Practice Address - Phone:413-203-9333
Practice Address - Fax:413-515-9631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty