Organization
HOLISTIC HAVEN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BLACKMORE PMHNP-BC (OWNER/PROVIDER)
(774) 230-4579
Entity
Organization
Contact information
Practice address
1500 MAIN ST, #7353, SPRINGFIELD, MA 01103
(774) 230-4579
Mailing address
1500 MAIN ST, #7353, SPRINGFIELD, MA 01103
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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