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Organization
DK MENTAL FOCUS AND BEHAVIOR SERVICES PLLC
Active
Organization
DK MENTAL FOCUS AND BEHAVIOR SERVICES PLLC
Active
Other names
DK MENTAL FOCUS AND BEHAVIOR SERVICES, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS KONGO (OWNER)
(413) 530-7318
Entity
Organization
Contact information
Practice address
15 BENTON DR, EAST LONGMEADOW, MA 01028-3231
(413) 239-4980
Mailing address
39 ALLISON LN, LUDLOW, MA 01056-9201
(413) 530-7318
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
NULL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/02/2024
Last updated
07/19/2024
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