Organization
BAYSTATE MENTAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RILEY (LMHC)
(978) 886-7564
Entity
Organization
Contact information
Practice address
175 DWIGHT RD, LONGMEADOW, MA 01106-1576
(978) 886-7564
Mailing address
175 DWIGHT RD, LONGMEADOW, MA 01106-1576
(978) 886-7564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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