Organization
DEVERRA BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELINE CHUKWU CHIUWA (MANAGER)
(407) 476-5615
Entity
Organization
Contact information
Practice address
312 LOCUST ST, SPRINGFIELD, MA 01108-1147
(407) 476-5615
(413) 385-2770
Mailing address
312 LOCUST ST, SPRINGFIELD, MA 01108-1147
(407) 476-5615
(413) 385-2770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/19/2026
Last updated
04/01/2026
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