# DK MENTAL FOCUS AND BEHAVIOR SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DK MENTAL FOCUS AND BEHAVIOR SERVICES, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932956349
- **Authorized official:** DAMARIS KONGO (OWNER)
- **Authorized official phone:** (413) 530-7318

## Contact information

- **Practice address:** 15 BENTON DR, EAST LONGMEADOW, MA 01028-3231
- **Practice address phone:** (413) 239-4980
- **Mailing address:** 39 ALLISON LN, LUDLOW, MA 01056-9201
- **Mailing address phone:** (413) 530-7318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | — | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 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