Organization
413THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSA NOONAN M.ED, LMHC (OWNER, PRESIDENT)
(413) 486-0136
Entity
Organization
Contact information
Practice address
280 N MAIN ST STE 6, EAST LONGMEADOW, MA 01028-1814
(413) 486-0163
Mailing address
280 N MAIN ST STE 6, EAST LONGMEADOW, MA 01028-1814
(413) 486-0163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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