Provider Demographics
NPI:1437796190
Name:DEHAIS, JOEY DEAMER (LICSW)
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:DEAMER
Last Name:DEHAIS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:HELEN
Other - Last Name:DEHAIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:48 N. PLEASANT ST.
Mailing Address - Street 2:SUITE 207
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002
Mailing Address - Country:US
Mailing Address - Phone:413-200-8024
Mailing Address - Fax:413-726-6001
Practice Address - Street 1:4 BAY RD
Practice Address - Street 2:1ST FLOOR, BUILDING B, SUITE 101
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035
Practice Address - Country:US
Practice Address - Phone:413-200-8024
Practice Address - Fax:413-726-6001
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MALICSW11202941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor